Individual
MS. AMANDA KACEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1524 S EAST AVE, SARASOTA, FL 34239-2324
(941) 365-2422
Mailing address
1524 S EAST AVE, SARASOTA, FL 34239-2324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17493
FL
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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