Individual
AMANDA BROOKE IZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 MADDEX DR, SHEPHERDSTOWN, WV 25443-4305
(304) 876-9422
Mailing address
120 OGUNQUIT DR, MARTINSBURG, WV 25403-1823
(304) 995-4907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2340
WV
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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