Individual
AMANDA GAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
114 SMOKETREE WAY, LOUISBURG, NC 27549-2117
(208) 608-8038
Mailing address
608 E RAINTREE LN, GOLDSBORO, NC 27534-8225
(208) 608-8038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11600
NC
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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