Individual
AMANDA RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5400 S UNIVERSITY DR, DAVIE, FL 33328-5312
(954) 483-1511
Mailing address
820 SW 118TH TER, DAVIE, FL 33325-3891
(954) 483-1511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20532
FL
Other
Enumeration date
10/31/2019
Last updated
01/09/2020
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