Individual
AMANDA RENA FULWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2752 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-6003
(864) 210-9658
(864) 626-0796
Mailing address
2752 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-6003
(864) 210-9658
(864) 626-0796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.11839PT
SC
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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