Individual
AMANDA DANIELLE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
331 GARDNER ROAD, HONAKER, VA 24260
(276) 385-0500
Mailing address
P.O.BOX 1735, HONAKER, VA 24260
(276) 385-0500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002052
VA
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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