Basic Information
Provider Information
NPI: 1750047536
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWLANDS
FirstName: AMANDA
MiddleName: TAYLOR
NamePrefix:  
NameSuffix:  
Credential: MOT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5666 CLYMER ROAD
Address2:  
City: QUAKERTOWN
State: PA
PostalCode: 189513264
CountryCode: US
TelephoneNumber: 2155383488
FaxNumber: 2815383488
Practice Location
Address1: 5666 CLYMER ROAD
Address2:  
City: QUAKERTOWN
State: PA
PostalCode: 189513264
CountryCode: US
TelephoneNumber: 2155383488
FaxNumber: 2815383488
Other Information
ProviderEnumerationDate: 11/16/2021
LastUpdateDate: 12/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC018176PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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