Individual
AMANDA M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 PHYSICIANS DR, SUITE 106, SUPPLY, NC 28462-4215
(910) 755-5437
Mailing address
1410 PARKVIEW CIR, 204, WILMINGTON, NC 28405-4306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001086
VA
224Z00000X
Occupational Therapy Assistant
Primary
8873
NC
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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