Individual
AMANDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
26 RYKILL WAY, PALM COAST, FL 32164-3403
(337) 214-3605
Mailing address
26 RYKILL WAY, PALM COAST, FL 32164-3403
(337) 214-3605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14646
FL
224Z00000X
Occupational Therapy Assistant
OTA3558
CA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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