Individual
AMANDA NICOLE CERVANTES FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5187
(209) 825-3696
Mailing address
2560 ZINFANDEL LN, TURLOCK, CA 95380-4448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17428
CA
Other
Enumeration date
12/08/2017
Last updated
12/26/2023
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