Individual
AMANDA FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 SUMMERSET LNDG, HAMPSTEAD, NC 28443-3723
(845) 803-1538
Mailing address
136 SUMMERSET LNDG, HAMPSTEAD, NC 28443-3723
(845) 803-1538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10495
NC
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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