Individual
MISS AMY VANDERAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 REGAL WAY, NAPLES, FL 34110-1020
(239) 404-9499
Mailing address
2213 REGAL WAY, NAPLES, FL 34110-1020
(239) 404-9499
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1100521
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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