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Individual

AMANDA HOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
721 6TH AVE, BETHLEHEM, PA 18018-3613
(610) 428-1565
Mailing address
721 6TH AVE, BETHLEHEM, PA 18018-3613

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
456117
PA

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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