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Individual

AMBER RANITA PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4930 PARKTON PL, BLACK JACK, MO 63033-4521
(314) 258-0476
(314) 258-0476
Mailing address
4930 PARKTON PL, BLACK JACK, MO 63033-4521

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2021048555
MO

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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