Provider Demographics
NPI:1386962314
Name:FOLKINS, AMY BARONE (PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BARONE
Last Name:FOLKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GLENWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6741
Mailing Address - Country:US
Mailing Address - Phone:831-641-9027
Mailing Address - Fax:
Practice Address - Street 1:200 GLENWOOD CIR
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6741
Practice Address - Country:US
Practice Address - Phone:831-641-9027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29108172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker