Individual
AMY RADANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
Mailing address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11201
FL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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