George, Amanda L

George, Amanda L is an individual health care provider with primary practice located at 1301 Russell Road , Russellville AR 72802. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. George, Amanda L can be contacted via phone (479) 967-2322.

Contact Information

Primary practice address
1301 Russell Road Russellville AR 72802
Phone: (479) 967-2322
Fax: (479) 968-2876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR770 Arkansas

Profile Details

NPI number 1841318821
LBN Legal business name George, Amanda L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841318821 NPPES
Arkansas MEDICAID 130041721
Arkansas Other 5W516

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