Individual
AMANDA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 347-1577
(818) 347-1326
Mailing address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 347-1577
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/24/2014
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