Individual
MRS. AMANDA LEE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
1030 JEFFERSON AVE, OT 117, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7452
Mailing address
2063 CARR AVE., MEMPHIS, TN 38104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2934
TN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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