Individual
AMANDA BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1484 BOONE ST, TROY, MO 63379-2216
(636) 290-1840
Mailing address
41 N CAMELOT DR, TROY, MO 63379-2332
(636) 290-1840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023013076
MO
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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