Individual
MRS. AMANDA RENA PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
862 CASSIDY PIKE, EWING, KY 41039-8498
(606) 748-1719
Mailing address
9035 WAGEL LN, MAYSVILLE, KY 41056-7758
(606) 301-1611
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200403083
KY
Other
Enumeration date
08/23/2010
Last updated
06/08/2020
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