Individual
AMANDA A TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106146
MN
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
06/14/2013
Last updated
10/15/2020
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