Individual
MISS AMANDA J JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10902 BLYTH CT S, JACKSONVILLE, FL 32246-9422
(305) 747-8050
Mailing address
10902 BLYTH CT S, JACKSONVILLE, FL 32246-9422
(305) 747-8050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14814
FL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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