Individual
AMANDA BETH KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
1200 CHILDRENS AVE STE BA, OKLAHOMA CITY, OK 73104-4637
(405) 271-3644
(405) 271-1907
Mailing address
1200 CHILDRENS AVE STE BA, OKLAHOMA CITY, OK 73104-4637
(405) 271-3644
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
77
OK
224P00000X
Prosthetist
Primary
125
OK
Other
Enumeration date
03/05/2021
Last updated
11/19/2021
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