Individual
AMY STANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 CULLEN LAKE SHORE DR, BELLE ISLE, FL 32812
(215) 431-3374
(407) 704-3088
Mailing address
3430 CULLEN LAKE SHORE DR, BELLE ISLE, FL 32812
(215) 431-3374
(407) 704-3088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12495
FL
Other
Enumeration date
10/13/2008
Last updated
10/18/2016
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