Individual
AMY BISOGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CNT, IBCLC
Contact information
Practice address
1555 RAMONA DR, CAMARILLO, CA 93010-8431
(310) 422-3744
Mailing address
1555 RAMONA DR, CAMARILLO, CA 93010-8431
(310) 422-3744
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-306419
CA
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
14695
CA
225XP0200X
Pediatric Occupational Therapist
14695
CA
Other
Enumeration date
02/05/2018
Last updated
09/04/2023
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