Individual
AMANDA ELLEN CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
4113 GATEWAY DR, COLLEYVILLE, TX 76034-5609
(817) 793-7764
Mailing address
2428 MONTE CARLO WAY, APT 625, FORT WORTH, TX 76244-1487
(631) 965-2589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017786
NY
225X00000X
Occupational Therapist
Primary
117332
TX
Other
Enumeration date
01/18/2013
Last updated
01/29/2017
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