Individual
AMANDA JOAN PRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3638 MOTOR AVE, LOS ANGELES, CA 90034-5702
(310) 204-8999
(310) 204-8916
Mailing address
3638 MOTOR AVE, LOS ANGELES, CA 90034-5702
(310) 204-8999
(310) 204-8916
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
2000175710
MO
225XP0200X
Pediatric Occupational Therapist
Primary
8885
CA
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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