Individual
MRS. AMANDA LEE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12371 COTTAGE WOODS DR, ASHLAND, VA 23005-7844
(804) 363-7214
(804) 798-5279
Mailing address
6826 VIOLET DR, FREDERICKSBURG, VA 22407-6291
(540) 604-4831
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002130
VA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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