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Individual

MRS. AMANDA LEYVA SELLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1211 STATELINE RD, NILES, MI 49120-4729
(269) 684-2810
(269) 684-0726
Mailing address
9337 KRAMER DR, BRIDGMAN, MI 49106-9347
(269) 326-0727

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1078
CA
224Z00000X
Occupational Therapy Assistant
32001584A
IN
224Z00000X
Occupational Therapy Assistant
Primary
5202008834
MI

Other

Enumeration date
04/10/2008
Last updated
03/16/2026
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