Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 AVENIDA DEL ORO STE 118, OCEANSIDE, CA 92056-5829
(760) 945-6500
Mailing address
29712 ORANGE OAK, LAGUNA NIGUEL, CA 92677-1963
(949) 616-5551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20826
CA
Other
Enumeration date
08/24/2017
Last updated
08/03/2020
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