Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3879
AZ
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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