AMANDA WALLACE

MORGANTOWN, WV
NPI1972228534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1905)
Enumeration Date2022-10-06
Last Update Date2022-10-06
Business Address
AMANDA WALLACE
829 FAIRMONT RD
MORGANTOWN, WV 26501-0088
Phone number: 304-305-1506
Mailing Address
AMANDA WALLACE
26 KIMBERLY CIR
FAIRMONT, WV 26554-7998
Phone number: 304-677-9611