Individual
AMANDA CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8840 CYPRESS WATERS BLVD, COPPELL, TX 75019-4594
(800) 788-4815
Mailing address
8840 CYPRESS WATERS BLVD, COPPELL, TX 75019-4594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
117145
TX
225X00000X
Occupational Therapist
Primary
9975
NC
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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