Individual
MISS AMARYLLIS AMANDA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
60 CLANTOY ST, SPRINGFIELD, MA 01104-2446
(413) 732-8450
Mailing address
60 CLANTOY ST, SPRINGFIELD, MA 01104-2446
(413) 732-8450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3291
MA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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