Individual
AMANDA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
8811 SANDY PLAINS DR, RIVERVIEW, FL 33578-8619
(813) 546-1423
Mailing address
8811 SANDY PLAINS DR, RIVERVIEW, FL 33578-8619
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16331
FL
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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