Amanda Farris COTA/L

NPI 1427396548 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1427396548
Gender Female
Enumeration Date 01/24/2013
Last Updated 01/24/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
13609 CALIFORNIA ST
C&A PLAZA, SUITE 200
OMAHA NE, 68154-5260, US
Phone (402) 891-1118
Fax (402) 895-7812
Business Location
2712 ARLENE DR
URBANA IL, 61802-7682, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Illinois
License Number 057.003637
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According to our database, Miss Amanda Farris COTA/L NPI is 1427396548, taxonomy code is 224Z00000X and license number is 057.003637, license state is located at Illinois. Amanda Farris COTA/L physically located at 13609 California St, Omaha NE, 68154-5260. NPI Number Amanda Farris COTA/L has the Individual type.

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1427396548 NPI number is provided on an as is basis without warranty of any kind. 1427396548 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Farris COTA/L are for informational purposes only.