Individual
AMANDA K LINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
325 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1725
(812) 283-3231
(812) 283-3271
Mailing address
101 E ROSEWOOD DR, CLARKSVILLE, IN 47129-1741
(812) 207-3792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1676
WV
225X00000X
Occupational Therapist
31005478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094895
—
OH
05
—
3810026488
—
WV
Enumeration date
09/09/2013
Last updated
09/09/2020
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