Individual
AMANDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
PO BOX 301, JOSEPHINE, TX 75164-0301
(214) 636-6259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119045
TX
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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