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1053441253
AMANDA M WARDLAW
SENECA, SC
NPI
1053441253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2007-03-06
Last Update Date
2007-07-09
Business Address
-- AMANDA M WARDLAW COTA
475 ROCHESTER HWY
SENECA, SC 29672-2475
Phone number: 610-991-2034
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Mailing Address
-- AMANDA M WARDLAW COTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 610-991-2034
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