Individual
AMANDA D FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 HANOVER PARK DR, JACKSONVILLE, FL 32224-8602
(904) 251-4833
Mailing address
4308 HANOVER PARK DR, JACKSONVILLE, FL 32224-8602
(904) 251-4833
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002224700
—
FL
Enumeration date
06/22/2010
Last updated
05/24/2013
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