Individual
AMANDA LEE DEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W MATTHEWS ST, MATTHEWS, NC 28105-1309
(704) 846-0262
Mailing address
205 S KINGS DR APT 219, CHARLOTTE, NC 28204-2668
(248) 670-0754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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