Individual
AMANDA WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
108 PATRIOT DR STE A, MIDDLETOWN, DE 19709-8803
(302) 440-3914
Mailing address
108 PATRIOT DR STE A, MIDDLETOWN, DE 19709-8803
(302) 440-3914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0012205
DE
225X00000X
Occupational Therapist
—
MD
Other
Enumeration date
06/21/2018
Last updated
10/12/2020
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