Individual
AMANDA BORIS DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4428 PHEASANT RIDGE RD, ROANOKE, VA 24014-5219
(540) 685-1565
Mailing address
100 ESTATE DR, GLADE HILL, VA 24092-1865
(540) 798-5847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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