NPI 1568345312

Amy Wilborn, PTA

Practitioner Physical Therapy Assistant Philadelphia, MS

Practice location

Address: 1001 Holland Ave, Philadelphia, MS 39350-2161
Phone: (601) 650-6525
Mailing address: 308 Will Ave, Philadelphia, MS 39350-9781

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA6246 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1568345312
Entity type: Individual
Sex (as registered): X
NPI issued: 29 Jul 2025
Record last updated: 29 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.