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Individual

AMY JO MCMANAMAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
331 HOLT LN, LEWISBURG, WV 24901-1774
(304) 645-4830
Mailing address
749 ASBURY TRCE, LEWISBURG, WV 24901-9432
(304) 645-0993

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119002711
VA
225X00000X
Occupational Therapist
Primary
413
WV

Other

Enumeration date
03/15/2007
Last updated
10/24/2012
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