Individual
MRS. AMANDA ALLEN FLYCKT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1915 PARK CREST DR, CARDIFF BY THE SEA, CA 92007-1427
(818) 298-1461
Mailing address
1915 PARK CREST DR, CARDIFF BY THE SEA, CA 92007-1427
(818) 298-1461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19334
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
19334
CA
225XP0200X
Pediatric Occupational Therapist
Primary
19334
CA
Other
Enumeration date
10/22/2018
Last updated
12/16/2024
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