Individual
AMANDA JONISE HIMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 JEFFERSON HWY, BATON ROUGE, LA 70806-8104
(225) 767-5032
(888) 531-1703
Mailing address
6605 JEFFERSON HWY, BATON ROUGE, LA 70806-8104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343351
LA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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