AMANDA WALLACE STREET

ASHEVILLE, NC
NPI1265682728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2008-09-22
Last Update Date2018-07-11
Business Address
Mrs. AMANDA WALLACE STREET CPO
1 DOCTORS DR
ASHEVILLE, NC 28801
Phone number: 828-254-3392
Mailing Address
Mrs. AMANDA WALLACE STREET CPO
1 DOCTORS DR
ASHEVILLE, NC 28801-4608
Phone number: 828-254-3392
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