Individual
AMANDA LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5802 S PRESA ST, SAN ANTONIO, TX 78223-3506
(210) 261-3300
(210) 532-6090
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457771024
I DO NOT KNOW
TX
Enumeration date
04/22/2014
Last updated
05/03/2024
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