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Contact Information

AMANDA L GUM, PTA
200 VETERANS AVE
BECKLEY, WV25843
 Phone: 304-255-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for AMANDA L GUM · (Female)

NPI # 1750607982
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 04/13/2010
Last updated 04/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 001461
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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