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Individual

AMANDA ROUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L,CNDT, PAMS

Contact information

Practice address
2121 PINE ST, SAN FRANCISCO, CA 94115-2829
(415) 922-5085
Mailing address
1546 MCALLISTER ST APT 3, SAN FRANCISCO, CA 94115-4484

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15953
CA

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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