Amanda Lynn Alonso COTA/L

NPI 1417259631 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1417259631
Gender Female
Enumeration Date 11/19/2010
Last Updated 11/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4450 W EAU GALLIE BLVD
MELBOURNE FL, 32934-7213, US
Phone (321) 255-6627
Fax
Business Location
1980 BARTON BLVD
ROCKLEDGE FL, 32955-6117, US
Phone (321) 403-0746
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Florida
License Number OTA10167
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According to our database, Mrs. Amanda Lynn Alonso COTA/L NPI is 1417259631, taxonomy code is 224Z00000X and license number is OTA10167, license state is located at Florida. Amanda Lynn Alonso COTA/L physically located at 4450 W Eau Gallie Blvd, Melbourne FL, 32934-7213. NPI Number Amanda Lynn Alonso COTA/L has the Individual type.

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1417259631 NPI number is provided on an as is basis without warranty of any kind. 1417259631 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Lynn Alonso COTA/L are for informational purposes only.