Individual
AMANDA THERESA ROSE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
762 DEER PARK RD, DIX HILLS, NY 11746-6221
(631) 254-0094
Mailing address
141 ANDREW AVE, EAST MEADOW, NY 11554-3429
(516) 404-0884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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