Individual
MRS. AMANDA L HELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT ST LUCIE, FL 34953-7302
(772) 336-6928
Mailing address
1483 SW BOUGAINVILLEA AVE, PORT ST LUCIE, FL 34953-7302
(772) 336-6928
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16050
FL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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