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Individual

AMANDA JANE GRETSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
543 ENCINITAS BLVD STE 114, ENCINITAS, CA 92024-3744
(760) 525-1111
Mailing address
543 ENCINITAS BLVD STE 114, ENCINITAS, CA 92024-3744
(760) 525-1111

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OT 6359
CA
225X00000X
Occupational Therapist
Primary
OT6359
CA

Other

Enumeration date
12/08/2006
Last updated
03/15/2021
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