Individual
SOPHIE AMAYAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6923 TWILIGHT ELM TRCE, KATY, TX 77493-3392
(832) 757-3416
Mailing address
6923 TWILIGHT ELM TRCE, KATY, TX 77493-3392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
TX
Enumeration date
08/06/2019
Last updated
08/06/2019
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