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Individual

AMY M LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
719 FAIRMONT AVE, SUITE 102, FAIRMONT, WV 26554
(304) 363-8543
(304) 363-0173
Mailing address
719 FAIRMONT AVE STE 102, FAIRMONT, WV 26554-5118
(304) 363-8543
(304) 363-0173

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002949
WV

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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