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Amanda Van Dyke, MOT, OTR/L — NPI 1952940173, Shreveport, LA | NPI Central

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NPI 1952940173

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Amanda Van Dyke, MOT, OTR/L

NPI 1952940173 · Occupational Therapist · Shreveport, LA

Provider details

NPI number: 1952940173
Entity type: Individual
Primary specialty: Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: MOT, OTR/L
Sex: Female
Sole proprietor: No
License: 325638 (LA)

Specialties & taxonomies

Occupational TherapistPrimary225X00000XLicense 325638 (LA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist225X00000XLicense 2019036905 (MO)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

1950 E 70th St Ste a

Shreveport, LA 71105-5345

Phone: (318) 219-6064

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

2303 Lexington Dr

Barksdale Afb, LA 71110-2174

Additional practice locations (2)

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

Registry dates

Enumerated: 2020-01-06
Last updated: 2021-04-02
Certified: 2021-04-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.