Individual
MISS AMANDA MARIE NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3980 TAMPA ROAD, UNIT 206, OLDSMAR, FL 34677
(813) 891-1442
Mailing address
10146 TRANQUILITY WAY, TAMPA, FL 33625
(540) 761-3004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10607
FL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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