Provider Demographics
NPI:1053832824
Name:FARQUHAR, AMANDA HARPER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:HARPER
Last Name:FARQUHAR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 LINDSEY LN
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-1600
Mailing Address - Country:US
Mailing Address - Phone:912-729-1333
Mailing Address - Fax:912-729-5259
Practice Address - Street 1:100 LINDSEY LN
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-1600
Practice Address - Country:US
Practice Address - Phone:912-729-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13093PT225100000X
FLPT34782225100000X
GAPT012853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist