AMANDA GRACE

SANTA ROSA, CA
NPI1033326582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: CA  OT5383)
Additional Taxonomies101YM0800X Counselor, Mental Health
225X00000X Occupational Therapist
(Licence: CA  OT5383)
Enumeration Date2007-05-16
Last Update Date2012-10-24
Business Address
-- AMANDA GRACE
340 TESCONI CIR STE C
SANTA ROSA, CA 95401-4676
Phone number: 707-546-9160
Mailing Address
-- AMANDA GRACE
340 TESCONI CIR STE C
SANTA ROSA, CA 95401-4676
Phone number: 707-546-9160