Individual
AMANDA MARIE ALANIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-4029
(361) 396-4034
Mailing address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 369-4029
(361) 396-4034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119760
ECPTOTE
TX
Enumeration date
03/05/2019
Last updated
09/24/2021
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