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Individual

AMANDA C OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1900 N FRANCES ST, TERRELL, TX 75160-1215
(972) 524-2503
Mailing address
1968 OBSIDIAN TRL, HEARTLAND, TX 75126-1160
(601) 421-1464

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213470
TX

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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