Individual
MRS. AMANDA C MAIDHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 RAMBLEBROOK ST, MALABAR, FL 32950-4237
(321) 480-4277
(321) 305-5966
Mailing address
1010 RAMBLEBROOK ST, MALABAR, FL 32950-4237
(321) 480-4277
(321) 305-5966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 17163
FL
Other
Enumeration date
09/03/2009
Last updated
05/12/2017
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