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Individual

AMY WHISENHUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1208-Q N.IH35, SUITE Q, ROUND ROCK, TX 78681
(512) 310-7665
(512) 310-9228
Mailing address
1208-Q N.IH35, SUITE Q, ROUND ROCK, TX 78681
(512) 310-7665
(512) 310-9228

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208218
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031DG
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/06/2007
Last updated
07/08/2007
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