Individual
AMANDA LEE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 SUNAPEE LN, BLAKESLEE, PA 18610-7923
(610) 349-8749
Mailing address
2125 SUNAPEE LN, BLAKESLEE, PA 18610-7923
(610) 349-8749
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007856
PA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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