Individual
AMANDA BALTUSNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
41 BALTUSROL DR, CHARLES TOWN, WV 25414-3884
(304) 216-2979
Mailing address
41 BALTUSROL DR, CHARLES TOWN, WV 25414-3884
(304) 216-2979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006982
VA
225X00000X
Occupational Therapist
08464
MD
225X00000X
Occupational Therapist
Primary
1735
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330707
NBCOT
—
Enumeration date
08/17/2018
Last updated
01/20/2020
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