Individual
MS. AMANDA FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
(800) 521-9604
Mailing address
377 VICTORIA DR, CHOCOWINITY, NC 27817-9714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3845
CA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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