Individual
AMANDA ROSE TETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
123 N HIGHWAY 27, SEBRING, FL 33870-2100
(863) 471-6303
Mailing address
228 MANDOLIN DR, WINTER HAVEN, FL 33884-3582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA16886
FLORIDA HEALTH
FL
Enumeration date
10/29/2019
Last updated
10/29/2019
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