Individual
AMANDA LAWRENCE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
34910 INTERSTATE 10 W, SUITE 401, BOERNE, TX 78006-9229
(830) 816-2611
(830) 816-2688
Mailing address
PO BOX 1468, BOERNE, TX 78006-1468
(830) 816-2611
(830) 816-2688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110042
TX
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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