Individual
AMANDA CLAY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 963-5655
Mailing address
460 FALLING LN, VIRGINIA BEACH, VA 23454-3973
(757) 672-5525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606078
VA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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