Individual
MRS. AMANDA WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1040 GULF BREEZE PKWY STE 200, GULF BREEZE, FL 32561-7808
(850) 916-3700
(850) 916-3710
Mailing address
1040 GULF BREEZE PKWY STE 200, GULF BREEZE, FL 32561-7808
(850) 916-3700
(850) 916-3710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT003606
GA
225X00000X
Occupational Therapist
Primary
OT18370
FL
Other
Enumeration date
04/27/2006
Last updated
07/29/2020
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