Individual
AMANDA STOKES BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR, CLT
Contact information
Practice address
1903 UNIVERSITY DR, MANDEVILLE, LA 70448
(985) 373-5569
Mailing address
1903 UNIVERSITY DR, MANDEVILLE, LA 70448-1011
(985) 373-5569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
200169
LA
225X00000X
Occupational Therapist
Primary
OTT.200169
LA
Other
Enumeration date
02/05/2018
Last updated
06/16/2018
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