Individual
AMANDA MONTEZ AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 EASTGATE DR, AIKEN, SC 29803-7688
(803) 643-3694
Mailing address
202 TODD AVE, NEW ELLENTON, SC 29809-2824
(803) 226-3245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3488
SC
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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