Individual
MISS AMANDA JO MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
506 SHADOW OAKS CT, ROCKWALL, TX 75087-3146
(214) 621-6074
Mailing address
506 SHADOW OAKS CT, ROCKWALL, TX 75087-3146
(214) 621-6074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209673
TX
Other
Enumeration date
07/17/2007
Last updated
11/17/2007
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