Most Relevant Information
Provider Data
| NPI Number: | 1003254129 |
| Provider Name: | AMANDA H JENNINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2013 |
| Last Updated: | 06/11/2013 |
Provider Practice Location
1218 N DIVISION AVE STE 102
SANDPOINT
ID
838645054
Practice Location Phone/Fax
| Phone: | 2083040652 |
| Fax: |
Provider Mailing Location
6823 N COLFAX ST
DALTON GARDENS
ID
838159245
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |