Individual
AMANDA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1824 COMMONS CIR, YUKON, OK 73099-9537
(405) 467-6782
(405) 467-6100
Mailing address
1411 PRAIRE HILLS DR., TUTTLE, OK 73089
(404) 823-8039
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1280
OK
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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