Individual
AMANDA KIM MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21615 HAWTHORNE BLVD STE 200, TORRANCE, CA 90503-6670
(310) 371-8555
(310) 317-4488
Mailing address
848 STARCREST ST, BREA, CA 92821-2050
(714) 392-2177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17658
CA
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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