Individual
AMANDA GRACE MAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6800 NW 169TH ST, HIALEAH, FL 33015-4210
(786) 615-8426
Mailing address
372 NW 95TH AVE, PLANTATION, FL 33324-7232
(305) 342-2581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25556
FL
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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