Individual
AMANDA FEHLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6180 BROCKTON AVE STE 202, RIVERSIDE, CA 92506-2233
(706) 537-2557
Mailing address
25071 PROSPECT AVE # A, LOMA LINDA, CA 92354-2959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
APPLIED FOR
CA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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