Individual
AMANDA MARIE AKIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
(512) 399-0064
Mailing address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
(512) 399-0064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33516
CA
235Z00000X
Speech-Language Pathologist
SA20416
FL
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/30/2023
Last updated
01/31/2023
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