Individual
AMANDA E STURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3235 OLIVET CHURCH RD STE D, PADUCAH, KY 42001-9545
(270) 443-5712
Mailing address
3235 OLIVET CHURCH RD STE D, PADUCAH, KY 42001-9545
(270) 556-3933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131969
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131969
KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
KY
05
—
7100145730
—
KY
Enumeration date
08/14/2010
Last updated
12/29/2022
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