IndividualActive
Amanda Wilkes, PTA
NPI 1851144786 · Physical Therapy Assistant · Fort Liberty, NC
Provider details
- NPI number
- 1851144786
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0881 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1722 Tagaytay Drive
Fort Liberty, NC 28310-0001
Phone: (910) 643-1866
Approximate (ZIP-level) locationGet directions
Mailing address
1722 Tagaytay Drive
Fort Liberty, NC 28310-0001
Registry dates
- Enumerated
- 2024-04-10
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.