AMANDA ROSE VANDER WIEL

ESPANOLA, NM
NPI1700449931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  4091)
Enumeration Date2019-04-14
Last Update Date2020-07-13
Business Address
AMANDA ROSE VANDER WIEL OT R/L
706 LA JOYA ST
ESPANOLA, NM 87532-2877
Phone number: 732-770-6838
Mailing Address
AMANDA ROSE VANDER WIEL OT R/L
144 HEYER RD
NAZARETH, PA 18064-8773
Phone number: 732-770-6838
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