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Individual

AMANDA L. IRVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
5268 NICHOLSON LN, KENSINGTON, MD 20895-1009
(301) 770-5437
Mailing address
720 YOUNG WAY, WESTMINSTER, MD 21158-4235
(443) 974-0674

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08485
MD

Other

Enumeration date
06/29/2019
Last updated
06/29/2019
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