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Individual

MS. AMANDA SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 8TH ST NE, WASHINGTON, DC 20002-5227
(202) 544-5439
Mailing address
1101 N UTAH ST, ARLINGTON, VA 22201-4725
(914) 879-1122

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119007275
VA

Other

Enumeration date
03/14/2017
Last updated
03/26/2018
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