Kotolski, Amanda Marie

Kotolski, Amanda Marie is an sole proprietor health care provider with primary practice located at 6061 Bahia Del Mar Blvd 207, St Petersburg FL 33715-3321. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kotolski, Amanda Marie can be contacted via phone (727) 637-6137.

Contact Information

Primary practice address
6061 Bahia Del Mar Blvd 207 St Petersburg FL 33715-3321
Phone: (727) 637-6137
Fax: (727) 388-9640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT12215 Florida

Profile Details

NPI number 1932259017
LBN Legal business name Kotolski, Amanda Marie
Credentials PH.D, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Nov 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932259017 NPPES
Florida Other 743501 UHC OPTUM HEALTH
Florida MEDICAID 891186000 UHC OPTUM HEALTH
Florida Other 190029 UHC OPTUM HEALTH
Florida MEDICAID 812350100 UHC OPTUM HEALTH
Florida Other Z113T UHC OPTUM HEALTH

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