Individual
AMANDA STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1616 W GERMANN RD, APT 2058, CHANDLER, AZ 85286-6998
(623) 815-4156
Mailing address
1616 W GERMANN RD, APT 2058, CHANDLER, AZ 85286-6998
(623) 815-4156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5372
AZ
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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