Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Van Dyke, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1952940173

Amanda Van Dyke, MOT, OTR/L is an Occupational Therapist in Shreveport, Louisiana. Works from 3 locations. Licensed in Louisiana and Missouri.

Licensed in
LA, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1950 E 70th St Ste A
Shreveport, LA 71105-5345
Phone: (318) 219-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 325638 (LA)
Occupational Therapist Taxonomy 225X00000X · Licence 2019036905 (MO)

Record details

NPI number1952940173
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

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