| NPI | 1407531528 |
|---|---|
| Former Name | AMANDA LYNNE SWOFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 123625) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 123625) |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-11-04 |