Individual
AMANDA SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1518 JADWIN AVE, RICHLAND, WA 99354-2902
(509) 942-8474
Mailing address
5914 RAMUS LN, PASCO, WA 99301-8080
(208) 360-0378
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TL60536271
WA
Other
Enumeration date
01/29/2015
Last updated
02/12/2025
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