Individual
AMY PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
861 AUTO CENTER DR., #D, PALMDALE, CA 93551
(661) 945-7878
(661) 945-7553
Mailing address
861 AUTO CENTER DR., #D, PALMDALE, CA 93551
(661) 945-7878
(661) 945-7553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1904
CA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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