Individual
MS. AMANDA MICHELLE TWELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
2425 SATCHEL LN, CONCORD, NC 28027-2860
(704) 564-7082
Mailing address
2338 YADKIN AVE APT 301, CHARLOTTE, NC 28205-1888
(704) 564-7082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12961
NC
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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