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Individual

AMANDA MARIE PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2319 E MATTHEWS AVE, JONESBORO, AR 72401-4415
(870) 919-0274
(870) 277-4335
Mailing address
771 SUNNY VALLEY LN, POPLAR BLUFF, MO 63901-6627
(573) 429-8203

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015002804
MO
224Z00000X
Occupational Therapy Assistant
OT-A985
AR

Other

Enumeration date
03/10/2016
Last updated
03/10/2016
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