Individual
MISS AMANDA FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13609 CALIFORNIA ST, C&A PLAZA, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
(402) 895-7812
Mailing address
2712 ARLENE DR, URBANA, IL 61802-7682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003637
IL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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