Individual
AMANDA LYNN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 LOCUST ST, SUITE 2A, CORAOPOLIS, PA 15108-3954
(412) 299-0704
(412) 299-1716
Mailing address
401 LOCUST ST, SUITE 2A, CORAOPOLIS, PA 15108-3954
(412) 299-0704
(412) 299-1716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011524
PA
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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