Individual
AMANDA CONWAY-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
201 W ROGERS BLVD APT 9, SKIATOOK, OK 74070-1029
(918) 609-0496
Mailing address
1203 S MOCKINGBIRD LN, SKIATOOK, OK 74070-1765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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