Provider Demographics
NPI:1447542261
Name:HURLOCK, AMBER SCHULZE (PTA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:SCHULZE
Last Name:HURLOCK
Suffix:
Gender:
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22539 MONROVIA RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-3407
Mailing Address - Country:US
Mailing Address - Phone:804-731-6079
Mailing Address - Fax:
Practice Address - Street 1:22539 MONROVIA RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-3407
Practice Address - Country:US
Practice Address - Phone:804-731-6079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306602877225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant