Individual
AMANDA DIEPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5802 N 36TH ST, TAMPA, FL 33610-3706
(813) 820-7832
Mailing address
5802 N 36TH ST, TAMPA, FL 33610-3706
(813) 820-7832
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16844
FL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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