Provider Demographics
NPI:1184823940
Name:GARFINKLE, AMANDA HEATHER (BHS, MOT)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:HEATHER
Last Name:GARFINKLE
Suffix:
Gender:F
Credentials:BHS, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 NW 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-2956
Mailing Address - Country:US
Mailing Address - Phone:352-381-8682
Mailing Address - Fax:
Practice Address - Street 1:623 NW 25TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-2956
Practice Address - Country:US
Practice Address - Phone:352-381-8682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12614225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist