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1407075484
AMIE NICOLE MAXWELL
ROANOKE, VA
NPI
1407075484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001726)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mr. AMIE NICOLE MAXWELL LPTA
650 N JEFFERSON ST
ROANOKE, VA 24016-1427
Phone number: 540-343-3484
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Mailing Address
Mr. AMIE NICOLE MAXWELL LPTA
765 AGNES LN NW
WILLIS, VA 24380-4600
Phone number: 540-789-8090
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