Individual
AMANDA ELIZABETH GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
(714) 870-9038
Mailing address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11364
CA
Other
Enumeration date
05/17/2011
Last updated
04/07/2026
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