Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Didawick Russell

Individual provider Physical Therapist · NPI 1124795802

Amanda Didawick Russell is a Physical Therapist in Spring Lake, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

103 Sleepy Dr Ste G
Spring Lake, NC 28390-3319
Phone: (910) 423-5622
Fax: (910) 378-1755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P20626 (NC)

Record details

NPI number1124795802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing address4602 Cumberland Rd, Fayetteville, NC 28306-2412

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