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Individual

AMANDA ANN CHILCOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6330 N FIR RD, GRANGER, IN 46530-4753
(574) 217-0609
Mailing address
3605 COOPERS CT APT 16, KALAMAZOO, MI 49004-7694
(313) 408-4483

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
118307
TX
225X00000X
Occupational Therapist
Primary
31006336A
IN
225X00000X
Occupational Therapist
5201009834
MI

Other

Enumeration date
04/14/2017
Last updated
04/14/2017
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