Individual
AMANDA TRISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1101 SW 122ND AVE APT 113, MIAMI, FL 33184-2808
(786) 281-7702
Mailing address
5920 SW 68TH ST, SOUTH MIAMI, FL 33143-3524
(305) 665-0886
(305) 667-4349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014485800
—
FL
Enumeration date
06/01/2011
Last updated
11/11/2025
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