Individual
AMANDA BELYAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 957-8206
Mailing address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 957-8206
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
Primary
PT35228
FL
225100000X
Physical Therapist
PT6085700
WA
Other
Enumeration date
11/02/2018
Last updated
09/24/2021
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