Individual
MRS. AMY ROBENA UMANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
3200 BRISTOL ST, SUITE 180, COSTA MESA, CA 92626-1808
(714) 557-9292
(714) 557-9137
Mailing address
3200 BRISTOL ST, SUITE 180, COSTA MESA, CA 92626-1808
(714) 557-9292
(714) 557-9137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 5983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 5983
OT LICENSE
CA
Enumeration date
09/16/2006
Last updated
12/08/2021
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