Individual
AMANDA TSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 EUCLID AVE, CAMERON, MO 64429-2005
(816) 632-6010
Mailing address
141 CARDINAL CIR, LAWSON, MO 64062-9314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023039319
MO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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