Individual
AMANDA POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12606 GREENVILLE AVE STE 205, DALLAS, TX 75243-1927
(214) 614-2345
Mailing address
12606 GREENVILLE AVE STE 205, DALLAS, TX 75243-1927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114615
TX
Other
Enumeration date
06/02/2017
Last updated
03/17/2018
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