Individual
MRS. AMANDA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1201 HEWITT DR, SUITE 202, WACO, TX 76712-8833
(254) 776-7864
(254) 776-0775
Mailing address
1204 CONNELL DR, KILLEEN, TX 76543-3430
(619) 300-6501
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
114123
TX
320700000X
Physical Disabilities Residential Treatment Facility
OT9956
CA
Other
Enumeration date
04/28/2008
Last updated
12/05/2011
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