Individual
AMANDA MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 GORMAN RD, LAUREL, MD 20723-5916
(410) 880-5950
Mailing address
5160 ILCHESTER WOODS WAY, ELLICOTT CITY, MD 21043-6308
(443) 750-0503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09408
MD
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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