Individual
AMANDA ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12708 RIATA VISTA CIR, AUSTIN, TX 78727-7167
(330) 606-8428
Mailing address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(972) 756-0500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213956
TX
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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