Individual
AMANDA ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
671 GOODLETTE RD N, SUITE 140, NAPLES, FL 34102-5469
(239) 434-9512
Mailing address
671 GOODLETTE RD N, SUITE 140, NAPLES, FL 34102-5469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14001
FL
Other
Enumeration date
03/15/2010
Last updated
01/07/2013
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