Amanda Rose Vander Wiel, OT R/L

NPI #1700449931 in Espanola, New Mexico

Provider Information

NPI Number: 1700449931
Entity Type: Individual
Name: Amanda Rose Vander Wiel, OT R/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT R/L
Enumeration Date: Apr 14, 2019
Last Updated: Jul 13, 2020

Practice Location

Address: 706 LA JOYA ST
City: Espanola
State: New Mexico
ZIP Code: 87532-2877
Phone: (732) 770-6838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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