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Individual

AMANDA IWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2802 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5702
(904) 721-0088
Mailing address
9745 TOUCHTON RD UNIT 2104, JACKSONVILLE, FL 32246-9208
(904) 866-1296

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12125
FL
225X00000X
Occupational Therapist
13632
NY

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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