Individual
AMANDA LEA BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
10301 SANDPIPER DR APT 48, HOUSTON, TX 77096-4531
(832) 919-5041
Mailing address
10301 SANDPIPER DR APT 48, HOUSTON, TX 77096-4531
(832) 919-5041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216075
TX
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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