Individual
AMANDA HETZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5355
(904) 697-7008
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-5355
(904) 697-7008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1540
ND
Other
Enumeration date
04/10/2017
Last updated
04/09/2020
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