Individual
AMANDA LIN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 WINDMILL ST, WALNUT COVE, NC 27052-7706
(336) 591-4353
Mailing address
2430 NORTHWICK DR APT 208, WINSTON SALEM, NC 27103-6778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8237
NC
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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