Individual
MS. AMANDA L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1301 RUSSELL ROAD, RUSSELLVILLE, AR 72802
(479) 967-2322
(479) 968-2876
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR770
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130041721
—
AR
01
—
5W516
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/27/2007
Last updated
01/06/2023
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