Tilstra, Amanda

Tilstra, Amanda is an individual health care provider with primary practice located at 3064 Bridgewater St , Lancaster SC 29720-0249. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. Tilstra, Amanda can be contacted via phone (845) 542-0128.

Contact Information

Primary practice address
3064 Bridgewater St Lancaster SC 29720-0249
Phone: (845) 542-0128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 5577 South Carolina

Profile Details

NPI number 1073174231
LBN Legal business name Tilstra, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2019
Last updated Jun 27th, 2019 - about 5 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.

Request for update

Popular Providers