Individual
AMANDA M LIZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1300 BLOOMINGDALE PIKE, KINGSPORT, TN 37660-2685
(865) 531-2204
Mailing address
1320 SW POINTVIEW RD, KEYSTONE HEIGHTS, FL 32656-9500
(423) 791-0192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20211
FL
225X00000X
Occupational Therapist
4507
TN
Other
Enumeration date
01/16/2015
Last updated
02/18/2021
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