Lee, Amanda
Lee, Amanda is an sole proprietor health care provider with primary practice located at 4904 4Th St Nw , Albuquerque NM 87107-3906. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lee, Amanda can be contacted via phone (505) 837-9474.Contact Information
Primary practice address
4904 4Th St Nw
Albuquerque NM 87107-3906
Phone: (505) 837-9474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4010 | New Mexico |
Profile Details
| NPI number | 1689141251 |
|---|---|
| LBN Legal business name | Lee, Amanda |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2018 |
| Last updated | Oct 31st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689141251 | NPPES |
| New Mexico | MEDICAID | 225X00000X |
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