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Individual

DR. AMANDA SPEIGHTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DHSC, OTR/L

Contact information

Practice address
17690 SW 107TH AVE APT 104, MIAMI, FL 33157-0828
(305) 457-5551
Mailing address
17690 SW 107TH AVE APT 104, MIAMI, FL 33157-0828
(305) 457-5551

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
OT 16986.
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015212000
FL
Enumeration date
04/30/2015
Last updated
01/07/2025
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