Johnston, Amanda
Johnston, Amanda is an individual health care provider with primary practice located at 2413 Professional Dr , Rocky Mount NC 27804-2254. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnston, Amanda can be contacted via phone (252) 443-0542.Contact Information
Primary practice address
2413 Professional Dr
Rocky Mount NC 27804-2254
Phone: (252) 443-0542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10281 | North Carolina |
Profile Details
| NPI number | 1609039023 |
|---|---|
| LBN Legal business name | Johnston, Amanda |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Dec 22nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609039023 | NPPES |
| North Carolina | Other | 201947869 | TAX ID |
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