Individual
MRS. AMANDA MARIE HALCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
(270) 821-1813
Mailing address
147 WILLIAMS LN, GREENVILLE, KY 42345-3600
(270) 577-1422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2981
KY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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