Individual
AMANDA MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Mailing address
9314 TOWER BRIDGE RD APT A, INDIANAPOLIS, IN 46240-5434
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003359A
IN
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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