Individual
AMANDA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
590 S FRANKLIN ST, RED LION, PA 17356-9172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01730
RI
225X00000X
Occupational Therapist
OT60965518
WA
Other
Enumeration date
06/26/2019
Last updated
07/10/2019
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