Individual
AMANDA WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 503-7459
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 503-7459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2515
AR
Other
Enumeration date
02/09/2015
Last updated
12/01/2015
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