Individual
AMANDA BROWN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 648-8344
Mailing address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 648-8344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004757
GA
225X00000X
Occupational Therapist
Primary
3514
SC
Other
Enumeration date
06/17/2008
Last updated
08/31/2009
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