Mardis, Amanda

Mardis, Amanda is an individual health care provider with primary practice located at 77564 Country Club Dr 340, Palm Desert CA 92211-0484. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mardis, Amanda can be contacted via phone (760) 722-2838.

Contact Information

Primary practice address
77564 Country Club Dr 340 Palm Desert CA 92211-0484
Phone: (760) 722-2838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 3174 California

Profile Details

NPI number 1760848626
LBN Legal business name Mardis, Amanda
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2016
Last updated Jan 7th, 2016 - about 9 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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