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Individual

AMANDA J AUGUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT12817
FL
225X00000X
Occupational Therapist
Primary
12817
FL
225X00000X
Occupational Therapist

Other

Enumeration date
07/26/2007
Last updated
10/07/2022
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