Individual
AMANDA LANKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SAINT ANTHONY ST, AUBURN, NY 13021-4525
(315) 253-0351
Mailing address
769 SUMMIT ST, SALEM, OH 44460-3821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112744182
—
OH
Enumeration date
06/29/2018
Last updated
06/29/2018
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