Individual
MRS. AMANDA CALLIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
9010 MUNSON DR, ZACHARY, LA 70791-8945
(225) 658-6505
Mailing address
9010 MUNSON DR, ZACHARY, LA 70791-8945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12174
LA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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