Individual provider · Type 1 NPI
Amanda Lynn Gum, PTA
Specialist · Beckley, WV
NPI number
1750607982
Active
Practice location
200 Veterans Ave
Beckley, WV 25843
Mailing address
365 Flat Top Lake
Ghent, WV 25843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 001461 (WV) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1750607982
Amanda Lynn Gum, PTA's National Provider Identifier is 1750607982, issued on Apr 13, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beckley, WV. The record was last updated on Apr 13, 2010.