Individual
JACQUELINE AMEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 BEAR CORBITT RD, BEAR, DE 19701-1323
(302) 454-2400
(302) 454-5440
Mailing address
925 BEAR CORBITT RD, BEAR, DE 19701-1323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001792
DE
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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