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Individual

MISS AMANDA LILLIAN OPRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
405 LAKE HOWELL RD, SUITE 1031, MAITLAND, FL 32751-5926
(407) 671-0433
Mailing address
8552 SUMMERVILLE PLACE, ORLANDO, FL 32819
(407) 325-9043

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22454
FL

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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