MRS. Amanda Wallace Street, CPO

NPI #1265682728 in Asheville, North Carolina

Provider Information

NPI Number: 1265682728
Entity Type: Individual
Name: MRS. Amanda Wallace Street, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Sep 22, 2008
Last Updated: Jul 11, 2018

Practice Location

Address: 1 DOCTORS DR
City: Asheville
State: North Carolina
ZIP Code: 28801
Phone: (828) 254-3392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary
Orthotist	222Z00000X

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