Individual
MISS AMANDA JEAN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
11665 AVENA PL, SUITE 106, SAN DIEGO, CA 92128-2421
(858) 673-5437
(858) 673-5434
Mailing address
1250 DOWNING ST, IMPERIAL BEACH, CA 91932-3322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10584
CA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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