Individual provider · NPI-1

Amanda Sophie Antonacci

Occupational Therapist · Hollywood, FL

NPI number1023938693
StatusActive
Last updated in NPPESJul 15, 2026

Details

NPI
1023938693
Entity type
Individual (NPI-1)
Name
Amanda Sophie Antonacci
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2026
Certification date
Jul 15, 2026
Last updated
Jul 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT25730FLYes
225XP0019X Occupational Therapist, Physical Rehabilitation––

Practice location

4000 Hollywood Blvd
Hollywood, FL 33021-6897

Phone 561-560-7377

Mailing address

720 Sw 5th St
Boca Raton, FL 33486-4618

Phone 561-843-0048

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