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Individual

AMANDA NICOLE MCFERRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1216 HILLCREST DR, SHERMAN, TX 75092-5507
(903) 893-7457
(903) 893-6671
Mailing address
1216 HILLCREST AVE, SHERMAN, TX 75092
(903) 893-7457
(903) 893-6671

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210694
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021660801
TX
01
210694
LICENCE NUMBER
TX
Enumeration date
01/20/2010
Last updated
01/20/2010
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