Individual
AMANDA MARIA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 VAN DYKE RD, LUTZ, FL 33558-8005
(813) 443-7000
Mailing address
16113 COPPERFIELD DR, TAMPA, FL 33618-1113
(813) 312-2866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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