Individual
MS. AMANDA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
746 W GUADALUPE RD, GILBERT, AZ 85233-3200
(603) 769-7415
Mailing address
871 W SILVER CREEK RD, GILBERT, AZ 85233-5720
(603) 769-7415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006636
AZ
225XP0200X
Pediatric Occupational Therapist
6636
AZ
Other
Enumeration date
09/01/2016
Last updated
12/03/2024
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