Individual
AMANDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(508) 468-0748
Mailing address
1099 WALNUT PLAIN RD, ROCHESTER, MA 02770-2122
(508) 468-0748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.6709
SC OT LICENSE
SC
01
—
14038
MA OT LICENSE
MA
Enumeration date
01/10/2023
Last updated
01/10/2023
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