Individual
AMANDA L BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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