Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Jaquez

Individual provider Occupational Therapist · NPI 1861926974

Amanda Jaquez is an Occupational Therapist in Titusville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

5045 Volusia Ave
Titusville, FL 32780-6829
Phone: (484) 577-7291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT18399 (FL)

Record details

NPI number1861926974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2017
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing address5045 Volusia Ave, Titusville, FL 32780-6829

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