Individual
AMANDA L BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
614 BILL BRADFORD, STE 101, SULPHUR SPRINGS, TX 75482-4538
(903) 885-5919
Mailing address
614 BILL BRADFORD, STE 101, SULPHUR SPRINGS, TX 75482-4538
(903) 885-5919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210663
PT OT BOARD LICENSE NUMBER
TX
Enumeration date
02/26/2010
Last updated
02/26/2010
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