Individual
AMANDA GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29371 INDUSTRIAL RD, CALIFORNIA, MO 65018-3053
(573) 690-5850
Mailing address
29371 INDUSTRIAL RD, CALIFORNIA, MO 65018-3053
(573) 690-5850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011024108
MO
Other
Enumeration date
07/27/2011
Last updated
08/28/2023
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