Provider Demographics
NPI:1316448103
Name:MEEKER, AMANDA RENEE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:RENEE
Last Name:MEEKER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 DOGWOOD RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-9044
Mailing Address - Country:US
Mailing Address - Phone:740-574-2558
Mailing Address - Fax:
Practice Address - Street 1:2159 DOGWOOD RIDGE RD
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-9044
Practice Address - Country:US
Practice Address - Phone:740-574-2558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-005185225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology