Provider Demographics
NPI:1932417813
Name:TORO, AMANDA KIM (OTA)
Entity type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:KIM
Last Name:TORO
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 WHITE EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-8071
Mailing Address - Country:US
Mailing Address - Phone:646-305-1654
Mailing Address - Fax:
Practice Address - Street 1:235 E 5TH ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5315
Practice Address - Country:US
Practice Address - Phone:407-703-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA19500224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant