AMANDA M PETERS

SUPPLY, NC
NPI1891122461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  8873)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001086)
Enumeration Date2013-09-27
Last Update Date2013-09-27
Business Address
-- AMANDA M PETERS
58 PHYSICIANS DR SUITE 106
SUPPLY, NC 28462-4215
Phone number: 910-755-5437
Mailing Address
-- AMANDA M PETERS
1410 PARKVIEW CIR 204
WILMINGTON, NC 28405-4306
Phone number: