Organization
SEASIDE OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HARRISON MS, OTR/L (OCCUPATIONAL THERAPIST)
(757) 655-1130
Entity
Organization
Contact information
Practice address
2200 EXECUTIVE DR STE E, HAMPTON, VA 23666-2582
(757) 655-1130
Mailing address
2200 EXECUTIVE DR STE E, HAMPTON, VA 23666-2582
(757) 655-1130
(757) 702-5811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/31/2019
Last updated
11/29/2024
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