Individual
MISS ANGELIQUE MARIE AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
390 RED SCHOOL LN, PHILLIPSBURG, NJ 08865-2230
(908) 859-0200
Mailing address
236 N SAINT CLOUD ST, ALLENTOWN, PA 18104-5611
(610) 570-9768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09078700
NJ
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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