Individual
AMANDA LAUREN WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 LOWELL ST, SAN ANTONIO, TX 78210-2830
(210) 274-9979
Mailing address
123 LOWELL ST, SAN ANTONIO, TX 78210-2830
(210) 274-9979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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