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Individual
AMANDA HASSEN
Active
Individual
AMANDA HASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4519
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4519
STATE LICENSE
SC
Enumeration date
06/15/2015
Last updated
06/15/2015
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