Individual
AMANDA CHRISTINA LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 ENTERPRISE AVE, LEAGUE CITY, TX 77573-2924
(281) 538-5993
Mailing address
120 S LAGUNA POINTE DR, LEAGUE CITY, TX 77573-9003
(361) 726-9844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209132
TX
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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