Individual
AMANDA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9035 BRYAN DAIRY RD, SEMINOLE, FL 33777-1104
(877) 252-4469
Mailing address
13500 AUDREY LN, LARGO, FL 33771-4912
(412) 505-3023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18397
FL
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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