Individual
AMANDA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1715 N JACKSON ST, TULLAHOMA, TN 37388-2231
(931) 455-8557
Mailing address
2710 ABSTON CT, CHRISTIANA, TN 37037-1100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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