Amanda Eileen Farris

NPI #1568803658 in Edwardsville, Illinois

Provider Information

NPI Number: 1568803658
Entity Type: Individual
Name: Amanda Eileen Farris
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 5944 WOODED ESTATES LN
City: Edwardsville
State: Illinois
ZIP Code: 62025-5811
Phone: (618) 407-1396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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