Individual
MRS. AMANDA NICOLE FORGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L, CLT
Contact information
Practice address
13085 US HIGHWAY 1, SEBASTIAN, FL 32958-3726
(772) 646-9577
Mailing address
435 33RD AVE, VERO BEACH, FL 32968-2037
(321) 960-3262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225X00000X
OCCUPATIONAL THERAPIST
FL
Enumeration date
11/26/2018
Last updated
11/26/2018
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