Individual
MRS. AMANDA O. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5223 VICTORIA ST NW, ROANOKE, VA 24017-4209
(540) 986-6882
Mailing address
5233 VICTORIA ST NW, ROANOKE, VA 24017-4209
(540) 986-6882
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000387
VA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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