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1891294484
AMANDA MCKIBBEN
OAKLAND, CA
NPI
1891294484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 15157)
Enumeration Date
2018-02-08
Last Update Date
2022-01-03
Business Address
MRS. AMANDA MCKIBBEN OTR/L
2361 E 29TH ST
OAKLAND, CA 94606-3511
Phone number: 510-488-0411
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Mailing Address
MRS. AMANDA MCKIBBEN OTR/L
4091 LINCOLN AVE
OAKLAND, CA 94602-2429
Phone number: 831-239-3312
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