MRS. Eliska Amyx, PTA
NPI #1760759955 in Fairfax Station, Virginia
Provider Information
- NPI Number
- 1760759955
- Entity Type
- Individual
- Name
- MRS. Eliska Amyx, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 16, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 11645 CAPTAIN RHETT LN
- City
- Fairfax Station
- State
- Virginia
- ZIP Code
- 22039-1235
- Phone
- (703) 401-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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| Jessica May Cantu-Lane, PTA | |
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Organizations
| Provider Name | |
|---|---|
| Shoreline Rehabilitation Services, LLC |
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