Provider Demographics
NPI:1891327854
Name:VALDES, AMANDA ROUTT (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:ROUTT
Last Name:VALDES
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:GENE
Other - Last Name:ROUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:11310 LEGACY AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3658
Mailing Address - Country:US
Mailing Address - Phone:561-624-9188
Mailing Address - Fax:
Practice Address - Street 1:11310 LEGACY AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3658
Practice Address - Country:US
Practice Address - Phone:561-624-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22641225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics