Most Relevant Information
Provider Data
| NPI Number: | 1003300294 |
| Provider Name: | AMY KATHERINE TALLY PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | NC05374 |
Most Important Dates
| Enumeration Date: | 06/20/2018 |
| Last Updated: | 08/30/2024 |
Provider Practice Location
2301 ERWIN RD
DURHAM
NC
277104629
Practice Location Phone/Fax
| Phone: | 9196848111 |
| Fax: |
Provider Mailing Location
4030 ST CROIX LN APT 202
MEBANE
NC
273027461
Provider Mailing Phone/Fax
| Phone: | 5139100996 |
| Fax: |