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NPI Code Detail

MEDICARE: AMANDA CONDE OTA

MEDICARE: AMANDA CONDE OTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant212813TX

General Provider Information

NPI Number : 1750240768
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CONDE OTA
Provider Business Mailing Address
First Line : 225 SEA SIDE DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78418-3039
Country : US
Telephone Number : 214-467-9787
Fax Number :
Provider Business Practice Location Address
First Line : 1431 GREENWAY DR STE 500
Second Line :
City : IRVING
State : TX
Zip : 75038-2444
Country : US
Telephone Number : 214-467-9787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ AMANDA CONDE OTA” Practice Location

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