MEDICARE: MS. AMBER MARIE PLOWDEN PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2063340	TX
2	225200000X	Physical Therapy Assistant	AT8913	CA

General Provider Information

NPI Number	:	1477795375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMBER MARIE PLOWDEN PTA

Provider Business Mailing Address
First Line	:	6012 SUGARLEAF LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-2808
Country	:	US
Telephone Number	:	412-867-9401
Fax Number	:

Provider Business Practice Location Address
First Line	:	6012 SUGARLEAF LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-2808
Country	:	US
Telephone Number	:	412-867-9401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	03/24/2009

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