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1700151743
AMANDA C MICKNAL
RICHARDSON, TX
NPI
1700151743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 108175)
Enumeration Date
2012-03-08
Last Update Date
2012-03-08
Business Address
-- AMANDA C MICKNAL OTR
1111 ROCKINGHAM DR
RICHARDSON, TX 75080-4309
Phone number: 972-231-8833
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Mailing Address
-- AMANDA C MICKNAL OTR
7804 SCOTIA DR
DALLAS, TX 75248-3115
Phone number:
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