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NPI Code Detail

MEDICARE: AMANDA SEXTON

MEDICARE: AMANDA SEXTON
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 AssistantOT-A918AR

General Provider Information

NPI Number : 1881086098
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SEXTON
Provider Business Mailing Address
First Line : 627 ALLISON ST
Second Line :
City : PEARCY
State : AR
Zip : 71964-9511
Country : US
Telephone Number : 870-703-2429
Fax Number :
Provider Business Practice Location Address
First Line : 610 W GRAND AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-3922
Country : US
Telephone Number : 501-625-7800
Fax Number : 501-525-5812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2015
Last Update Date : 11/28/2023

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Directions to “ AMANDA SEXTON ” Practice Location

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