Individual
AMANDA MAE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
17 E 8TH AVE, SPOKANE, WA 99202-1201
(509) 474-4791
Mailing address
17 E 8TH AVE, SPOKANE, WA 99202-1201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60137603
WA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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