Individual
AMANDA KATHRYN TREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5648 SOUTH ADAMS AVE., WASHINGTON TERRACE, UT 84405
(601) 475-0500
Mailing address
321 E 2300 N, NORTH OGDEN, UT 84414-7252
(801) 791-5364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9120960-4202
UT
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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