Individual
AMANDA WOTRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6330 N FIR RD, GRANGER, IN 46530-4753
(574) 777-0311
Mailing address
25308 FILLMORE RD, SOUTH BEND, IN 46619-4557
(574) 315-0767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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