Individual
MS. AMANDA LEIGH GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4000 OUT LOOK DR, HURRICANE, WV 25526-9467
(304) 757-4102
Mailing address
5102 HEATHER PL, CHARLESTON, WV 25313-2206
(304) 776-2304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1625
WV
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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