Individual provider · Type 1 NPI

Amanda Van Dyke, MOT, OTR/L

Occupational Therapist · Shreveport, LA

NPI number 1952940173 Active

Practice location

1950 E 70th St Ste A
Shreveport, LA 71105-5345

Mailing address

2303 Lexington Dr
Barksdale Afb, LA 71110-2174

Other practice locations

  • 1950 E 70th St Ste A, Shreveport, LA 71105-5345 · (318) 219-6064
  • 1335 E Republic Rd Ste D, Springfield, MO 65804-7220 · (417) 727-0150

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X325638 (LA)
Occupational Therapist 225X00000X2019036905 (MO)

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…

11 other providers at this address

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About NPI 1952940173

Amanda Van Dyke, MOT, OTR/L's National Provider Identifier is 1952940173, issued on Jan 6, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shreveport, LA. The record was last updated on Apr 2, 2021.