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1740551696
AMANDA LYNN MIDDEKE
LAKE MARY, FL
NPI
1740551696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT12740)
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
Mrs. AMANDA LYNN MIDDEKE OTR/L
710 N SUN DR
LAKE MARY, FL 32746-2507
Phone number: 408-805-3131
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Mailing Address
Mrs. AMANDA LYNN MIDDEKE OTR/L
624 CALEDONIA PL
SANFORD, FL 32771-6403
Phone number: 636-219-8017
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