Individual
MS. AMANDA ELIZABETH BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
(540) 853-1690
Mailing address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
(540) 853-1609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00588900
NJ
225X00000X
Occupational Therapist
TOC101575
PA
225XP0200X
Pediatric Occupational Therapist
Primary
0119005351
VA
Other
Enumeration date
10/02/2008
Last updated
05/16/2023
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