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Individual

AMANDA MAY OVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
(208) 734-8350
Mailing address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
(208) 734-8350

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-879
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT-879
STATE OF IDAHO
ID
Enumeration date
06/06/2008
Last updated
07/07/2015
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