Provider Demographics
NPI:1336513985
Name:POHL, AMY LYNN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:POHL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:DAUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1921 ORTEGA ST
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-4111
Mailing Address - Country:US
Mailing Address - Phone:850-936-8919
Mailing Address - Fax:
Practice Address - Street 1:1229 TOTEROS DR
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6950
Practice Address - Country:US
Practice Address - Phone:704-849-4509
Practice Address - Fax:704-843-9045
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP19669225100000X
SC10298225100000X
TN106702251P0200X
FL34040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics