Individual
AMANDA REANN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129-2698
(559) 346-7132
Mailing address
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129-2698
(858) 753-5082
(858) 800-2523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
25426
CA
Other
Enumeration date
11/18/2019
Last updated
06/28/2024
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