Individual
MRS. AMANDA GENRY HATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17480 N DALLAS PKWY, STE 221, DALLAS, TX 75287
(214) 623-5900
Mailing address
305 NE LOOP 280; BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(843) 509-2443
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111943
TX
Other
Enumeration date
12/13/2007
Last updated
06/12/2014
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