Individual
AMANDA ANN COOK MAFINEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 SADDLESTONE DR, SAINT JOHNS, FL 32259-8204
(407) 221-6274
Mailing address
508 SADDLESTONE DR, SAINT JOHNS, FL 32259-8204
(407) 221-6274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
05627
MD
225X00000X
Occupational Therapist
Primary
17208
FL
Other
Enumeration date
11/07/2007
Last updated
09/12/2016
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