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Individual

MRS. AMANDA VICTORIA LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
1157 FIRST COLONIAL RD, SUITE 301, VIRGINIA BEACH, VA 23454-2432
(757) 422-6342
Mailing address
1157 FIRST COLONIAL RD, SUITE 301, VIRGINIA BEACH, VA 23454-2432
(757) 422-6342

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003492
VA

Other

Enumeration date
09/12/2010
Last updated
09/12/2010
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