Individual
AMANDA PERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8200
(701) 530-8168
Mailing address
PO BOX 5510, BISMARCK, ND 58506-5510
(701) 530-8200
(701) 530-8168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014135-1
NY
225X00000X
Occupational Therapist
Primary
1060
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182512
—
NY
Enumeration date
10/16/2006
Last updated
11/18/2014
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