Individual
MS. AMANDA MARIE WAYNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2900 LAKE BROOK BLVD, ROOM 113, KNOXVILLE, TN 37909-1135
(865) 558-3985
Mailing address
2900 LAKE BROOK BLVD, ROOM 113, KNOXVILLE, TN 37909-1135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4719
TN
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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