Individual
AMANDA LEE MOTAMEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2292 FIESBECK DR, COLUMBUS, IN 47201-2566
(812) 343-6374
Mailing address
2292 FIESBECK DR, COLUMBUS, IN 47201-2566
(812) 343-6374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004459A
IN
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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