| NPI | 1962661470 |
|---|---|
| Former Name | AMANDA EDGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-06-11 |