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Individual

AMANDA R COATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR

Contact information

Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
404 S FRYERS CREEK CIR APT 211, TEMPLE, TX 76504-7579
(515) 689-4493

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113585
TX

Other

Enumeration date
06/17/2011
Last updated
06/17/2011
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