Provider Demographics
NPI:1669761193
Name:PATZ, AMY KATHLEEN (DPT)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:KATHLEEN
Last Name:PATZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8318 ROLLING MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3353
Mailing Address - Country:US
Mailing Address - Phone:704-654-6606
Mailing Address - Fax:704-947-6835
Practice Address - Street 1:11026 ASBURY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4625
Practice Address - Country:US
Practice Address - Phone:704-575-4222
Practice Address - Fax:704-875-7112
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist