Individual
MISS AMANDA STACEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1359 PINE ST, SAN FRANCISCO, CA 94109-4807
(415) 673-8405
Mailing address
32 FAIRLAWN AVE, DALY CITY, CA 94015-3425
(650) 303-6569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
123470
TX
225X00000X
Occupational Therapist
Primary
20037
CA
225X00000X
Occupational Therapist
OT-2251
HI
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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