Individual
AMY LEAH BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6104 BEAUMONT AVE, LA JOLLA, CA 92037-6746
(858) 449-6699
Mailing address
6104 BEAUMONT AVE, LA JOLLA, CA 92037-6746
(858) 449-6699
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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