MEDICARE: AMANDA MESSINGSCHLAGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	20029	FL

General Provider Information

NPI Number	:	1669097168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MESSINGSCHLAGER

Provider Business Mailing Address
First Line	:	2841 N OCEAN BLVD APT 1208
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7571
Country	:	US
Telephone Number	:	954-871-7875
Fax Number	:

Provider Business Practice Location Address
First Line	:	2841 N OCEAN BLVD APT 1208
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7571
Country	:	US
Telephone Number	:	954-871-7875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	08/18/2021

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Directions to “ AMANDA MESSINGSCHLAGER ” Practice Location

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