Healthcare Provider Details

I. General information

NPI: 1285973008
Provider Name (Legal Business Name): AMANDA L ARICK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2013
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 S ALAFAYA TRL
ORLANDO FL
32828-8926
US

IV. Provider business mailing address

1111 E WASHINGTON ST
ORLANDO FL
32801-2127
US

V. Phone/Fax

Practice location:
  • Phone: 407-277-5400
  • Fax: 321-281-4942
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT15606
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: