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Individual

MRS. AMANDA MICHELLE HAUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA, LMT

Contact information

Practice address
3630 GEORGE WASHINGTON MEM HWY STE A, YORKTOWN, VA 23693-3350
(757) 867-9424
Mailing address
413 SANDY HILL WAY, CHESAPEAKE, VA 23322-6405
(703) 298-7598

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001545
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0131001545
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS
VA
Enumeration date
10/09/2019
Last updated
10/09/2019
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