Individual
AMANDA MACEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12127 HWY 14 N STE B3, CEDAR CREST, NM 87008-9462
(505) 286-3678
Mailing address
12127 HWY 14 N STE B3, CEDAR CREST, NM 87008-9462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4561
NM
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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