Individual
AMANDA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
200 COUNTRY BROOK DR, KELLER, TX 76248-2125
(817) 380-5451
Mailing address
3453 TWIN PINES DR, FORT WORTH, TX 76244-1125
(214) 315-3877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115367
TX
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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