Individual
AMANDA RANTTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 CUMMINGS CTR STE 350G, BEVERLY, MA 01915-6136
(978) 712-0003
Mailing address
7 HERITAGE DR APT 32, SALEM, MA 01970-2008
(802) 733-6808
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12021
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12021
OT LICENSE
MA
Enumeration date
08/12/2019
Last updated
08/12/2019
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