Individual
AMANDA CAMPBELL
Active
Individual
AMANDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
O-T1409
AR
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2702
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202225721
—
AR
01
—
O-T1409
ARKANSAS STATE MEDICAL BOARD
AR
01
—
OTR2707
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
04/02/2014
Last updated
04/21/2025
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