Individual
AMANDA DORIS FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. O.T. R/L
Contact information
Practice address
89-195 FARRINGTON HWY, WAIANAE, HI 96792-4102
(808) 696-7657
Mailing address
91-1046 OKUPE ST, EWA BEACH, HI 96706-3552
(207) 522-2859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
08/14/2013
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