Individual
EBONY JOI AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
601 POTOMAC AVE, PORTSMOUTH, VA 23707-1325
(757) 966-1451
Mailing address
601 POTOMAC AVE, PORTSMOUTH, VA 23707-1325
(757) 966-1451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601894
VA
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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