Individual
MRS. AMANDA NICHOLE WAECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
151 SHAWN CT, TROY, MO 63379-5496
(636) 462-1676
Mailing address
151 SHAWN CT, TROY, MO 63379-5496
(636) 462-1676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2004019018
MO
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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