Individual
AMANDA BIRKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 S DUNSMUIR AVE, APARTMENT 306, LOS ANGELES, CA 90036-4066
(310) 218-2222
Mailing address
9074 WHITWORTH DR, LOS ANGELES, CA 90035-1322
(310) 218-2222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2015
Last updated
10/15/2017
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