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Individual

AMANDA MARIE SELLEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1257 MARYWOOD LN, RICHMOND, VA 23229-6059
(804) 741-0612
Mailing address
1257 MARYWOOD LN, RICHMOND, VA 23229-6059

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
225X00000X
Occupational Therapist
0131002583
VA

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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