Individual
AMANDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
(502) 244-1214
Mailing address
5323 HAVENTREE PL, LOUISVILLE, KY 40229-2259
(502) 403-3056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
265643
KY
Other
Enumeration date
10/12/2020
Last updated
04/13/2021
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