Individual provider · Type 1 NPI

Amanda Nicole Haltiwanger, OTD, OTR/L

Occupational Therapist · Jacksonville, FL

NPI number 1366274789 Active

Practice location

11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686

Call (904) 652-5408 Map

Mailing address

1201 S Kyle Way
St. Johns, FL 32259-1928

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT25475 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1366274789

Amanda Nicole Haltiwanger, OTD, OTR/L's National Provider Identifier is 1366274789, issued on Aug 14, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 14, 2024.