Individual
AMY ELIZABETH NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CMT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
Mailing address
942 SHADOW TREE CT, VACAVILLE, CA 95687-7709
(530) 906-9450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49510
CA
225700000X
Massage Therapist
62113
CA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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