Individual
AMANDA SHAYNNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1316 HONEYSUCKLE CT, WARRENTON, MO 63383-3228
(314) 795-3446
Mailing address
1316 HONEYSUCKLE CT, WARRENTON, MO 63383-3228
(314) 795-3446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023020889
MO
Other
Enumeration date
07/26/2023
Last updated
07/27/2023
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