Russell, Amanda Didawick
Russell, Amanda Didawick is an individual health care provider with primary practice located at 103 Sleepy Dr Ste G , Spring Lake NC 28390-3319. 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. Russell, Amanda Didawick can be contacted via phone (910) 423-5622.Contact Information
Primary practice address
103 Sleepy Dr Ste G
Spring Lake NC 28390-3319
Phone: (910) 423-5622
Fax: (910) 378-1755
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | P20626 | North Carolina |
Profile Details
NPI number | 1124795802 |
---|---|
LBN Legal business name | Russell, Amanda Didawick |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2021 |
Last updated | Feb 1st, 2023 - about last year |
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.
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