Individual
AMANDA JOSEFINA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
114 3RD ST SE, FORT WALTON BEACH, FL 32548-5401
(850) 243-6134
Mailing address
16518 HUNTING VALLEY ST, SAN ANTONIO, TX 78247-1051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
218468
TX
224Z00000X
Occupational Therapy Assistant
Primary
OTA20561
FL
Other
Enumeration date
04/27/2026
Last updated
05/05/2026
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