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Individual

AMY SCHLIFTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11431 CA HWY 1, SUITE 9, POINT REYES STATION, CA 94956
(415) 663-9216
Mailing address
PO BOX 1228, POINT REYES STATION, CA 94956-1228

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13083
CA
225X00000X
Occupational Therapist
OT6870
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CT384000
CA
01
OPT130831
MEDICARE PPIN
CA
05
PT0130830
CA
Enumeration date
07/04/2006
Last updated
11/15/2017
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