Individual
MISS AMANDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W SR 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
3205 WHITNER WAY, SANFORD, FL 32773-6628
(407) 488-7524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTA9833
FL
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
09/07/2022
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