Individual
AMANA ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3033 W GREEN OAKS BLVD, ARLINGTON, TX 76016-2261
(270) 484-0608
Mailing address
8300 CENTAUR CT APT 308, FORT WORTH, TX 76120-5009
(270) 484-0608
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213636
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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