Individual
AMANDA L HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MASON ST STE 300, UKIAH, CA 95482-4483
(707) 463-3300
(707) 463-3318
Mailing address
169 MASON ST STE 300, UKIAH, CA 95482-4483
(707) 463-3300
(707) 463-3318
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
09/02/2025
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