Individual
AMAL BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
833 KINGSLEY AVE, ORANGE PARK, FL 32073-4701
(904) 547-1801
Mailing address
4810 CATOMA ST, JACKSONVILLE, FL 32210-7902
(904) 547-1801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15543
FL
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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