Individual
AMANDA MAXIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 RICHMOND RD N, BEREA, KY 40403-8788
(859) 986-4710
Mailing address
373 KINGS TRACE DR, BEREA, KY 40403-8752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
163283
KY
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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