Individual
AMANDA M STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1740 HUNTINGTON DR STE 301, DUARTE, CA 91010-3848
(626) 388-7018
Mailing address
343 STEDMAN PL, MONROVIA, CA 91016-2169
(626) 388-7018
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7362
CA
Other
Enumeration date
06/27/2012
Last updated
08/01/2022
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