Individual
MRS. AMY L HONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17 MILLBROOK RD, BRIDGEPORT, WV 26330-1019
(304) 626-5415
Mailing address
17 MILLBROOK RD, BRIDGEPORT, WV 26330-1019
(304) 626-5415
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1436
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157696000
—
WV
Enumeration date
02/11/2008
Last updated
02/11/2008
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