Individual
AMANDA NICHOLE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
809 NE 4TH ST, KERENS, TX 75144-2715
(903) 396-3211
Mailing address
224 REIERSON AVE, ATHENS, TX 75751-2925
(903) 681-2587
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211368
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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