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Individual

MRS. AMANDA WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
6835A 111TH ST, EWA BEACH, HI 96706-3325
(808) 492-0050
Mailing address
6835A 111TH ST, EWA BEACH, HI 96706-3325
(808) 492-0050

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-320
HI

Other

Enumeration date
09/09/2024
Last updated
09/13/2024
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