Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT009215L | PA |
N | 2251N0400X | Physical Therapist - Neurology | PT009215L | PA |
N | 2251P0200X | Physical Therapist - Pediatrics | PT009215L | PA |
NPI | 1699192161 |
---|---|
Provider Name | Ms. Amy Flinchbaugh |
First Address | Hummelstown, PA 17036-9188 |
Second Address | Hummelstown, PA 17036-9188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2014 |
Last Update Date | 23/03/2014 |