AMANDA GIBSON SOPER

SANTA ROSA, CA
NPI1164662672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: CA  OT9336)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CA  OT9336)
Enumeration Date2009-02-23
Last Update Date2009-02-23
Business Address
-- AMANDA GIBSON SOPER MA OTR/L
2999 CLEVELAND AVE
SANTA ROSA, CA 95403-2761
Phone number: 707-546-9160
Mailing Address
-- AMANDA GIBSON SOPER MA OTR/L
2999 CLEVELAND AVE
SANTA ROSA, CA 95403-2761
Phone number: 707-546-9160