Individual
AMANDA MARKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 333-2780
(563) 333-2836
Mailing address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 333-2780
(563) 333-2836
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.010711
IL
225X00000X
Occupational Therapist
Primary
074889
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074889
STATE OF IOWA DEPARTMENT OF PUBLIC HEALTH
IA
Enumeration date
12/18/2015
Last updated
12/18/2015
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