Organization
AMANDA J GRETSCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRETSCH O.T.R./L. (PRESIDENT/OCCUPATIONAL THERAPIST)
(760) 525-3111
Entity
Organization
Contact information
Practice address
5402 RUFFIN RD STE 104, SAN DIEGO, CA 92123-1319
(760) 525-3111
Mailing address
PO BOX 236049, ENCINITAS, CA 92023-6049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6359
CA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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