Amanda Jaquez
NPI #1861926974 in Titusville, Florida
Provider Information
- NPI Number
- 1861926974
- Entity Type
- Individual
- Name
- Amanda Jaquez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Apr 14, 2017
- Last Updated
- Feb 1, 2023
Practice Location
- Address
- 5045 VOLUSIA AVE
- City
- Titusville
- State
- Florida
- ZIP Code
- 32780-6829
- Phone
- (484) 577-7291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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