| NPI | 1396407581 |
|---|---|
| Former Name | AMANDA NIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA OT008221) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-12-19 |