Individual
AMY DEAVOURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9042 N WINERY AVE, FRESNO, CA 93720-4413
(650) 380-1986
Mailing address
9042 N WINERY AVE, FRESNO, CA 93720-4413
(650) 380-1986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12624
CA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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