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AMANDA ANDERSON OTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1124573613

Individual Registrant:
 AMANDA  ANDERSON OTA/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
26 RYKILL WAY  PALM COAST, FL 32164-3403 US
Tel: 337-214-3605  Fax: --

Contact information for business:
26 RYKILL WAY  PALM COAST, FL 32164-3403 US
Tel: 337-214-3605  Fax: --

Registration Information:
NPI: 1124573613
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CAOTA3558
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
FLOTA14646

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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