IndividualActive
Amanda Vander Wiel, OT R/L
NPI 1700449931 · Occupational Therapist · Espanola, NM
Provider details
- NPI number
- 1700449931
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT R/L
- Sex
- Female
- Sole proprietor
- No
- License
- 4091 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
706 La Joya St
Espanola, NM 87532-2877
Phone: (732) 770-6838
Approximate (ZIP-level) locationGet directions
Mailing address
144 Heyer Rd
Nazareth, PA 18064-8773
Registry dates
- Enumerated
- 2019-04-14
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.