Individual
MRS. AMANDA M SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1211A IRELAND DR, FAYETTEVILLE, NC 28304-3372
(910) 486-1605
(910) 486-1590
Mailing address
6731 SHAD CT, STEDMAN, NC 28391-9448
(910) 485-1643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2227
NC
Other
Enumeration date
06/25/2007
Last updated
01/28/2020
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