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Individual

AMANDA MARIE MANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1272 W MAIN RD, MIDDLETOWN, RI 02842-6405
(401) 683-8063
(401) 342-5618
Mailing address
1272 W MAIN RD, MIDDLETOWN, RI 02842-6405
(401) 683-8063
(401) 342-5618

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01093
RI

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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