Individual
MRS. AMANDA J HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1248 S JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6389
(407) 913-1010
(407) 992-8697
Mailing address
1248 S JOHN YOUNG PKWY, KISSIMMEE, FL 34741-6389
(407) 913-1010
(407) 992-8697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14019
FL
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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