Individual
MRS. AMY JEROME NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 TRAILHEAD CT, GREENVILLE, SC 29617-6226
(864) 371-3100
Mailing address
21 QUEEN ANN RD, GREENVILLE, SC 29615-3705
(864) 320-9094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4776
SC
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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