Individual
AMANDA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 HUNTINGTON LN, ROCKLEDGE, FL 32955-3136
(321) 632-7341
Mailing address
1775 HUNTINGTON LN, ROCKLEDGE, FL 32955-3136
(321) 632-7341
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 11811
FL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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