Individual
MRS. AMANDA HALKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT R/L
Contact information
Practice address
5406 HOOVER BLVD STE 21, TAMPA, FL 33634-5330
(813) 248-8149
Mailing address
6401 NIKKI LN, TAMPA, FL 33625-1641
(352) 359-2088
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT15458
FL
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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