MRS. Amanda Ren'ee Lewallen, AA, AS, OTA

NPI #1225629900 in Wayne, Ohio

Provider Information

NPI Number: 1225629900
Entity Type: Individual
Name: MRS. Amanda Ren'ee Lewallen, AA, AS, OTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Credential: AA, AS, OTA
Enumeration Date: Jan 27, 2021
Last Updated: Jan 27, 2021

Practice Location

Address: 7922 EMERSON RD
City: Wayne
State: Ohio
ZIP Code: 43466-9721
Phone: (567) 213-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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