Individual
AMANDA CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4859 BUCKNER LN, PADUCAH, KY 42001-5375
(618) 922-2302
Mailing address
4859 BUCKNER LN, PADUCAH, KY 42001-5375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3955
KY
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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