Provider Demographics
NPI:1205261799
Name:PLUMB, AMANDA C (PT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:C
Last Name:PLUMB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:C
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5215 LOUGHBORO RD NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2625
Mailing Address - Country:US
Mailing Address - Phone:202-787-5620
Mailing Address - Fax:202-787-5606
Practice Address - Street 1:5215 LOUGHBORO RD NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2625
Practice Address - Country:US
Practice Address - Phone:202-787-5620
Practice Address - Fax:202-787-5606
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist