Provider Demographics
NPI:1528266293
Name:MORRISON-THROWER, AMANDA C (OT)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:C
Last Name:MORRISON-THROWER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 CHILTON CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-3982
Mailing Address - Country:US
Mailing Address - Phone:505-860-6000
Mailing Address - Fax:
Practice Address - Street 1:804 E NAVAJO ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-9119
Practice Address - Country:US
Practice Address - Phone:505-386-0075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1809225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist