Individual
AMANDA LUBETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4050 HELENE ST, SIMI VALLEY, CA 93063-2817
(805) 587-8580
Mailing address
4050 HELENE ST, SIMI VALLEY, CA 93063-2817
(805) 587-8580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10449
CA
Other
Enumeration date
10/31/2015
Last updated
10/31/2015
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