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Individual

AMANDA MEGAN BALIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
25924 JACKSON AVE, MURRIETA, CA 92563-6447
(951) 417-8200
Mailing address
31207 WHISTLING ACRES DR, TEMECULA, CA 92591-7435
(951) 454-7530

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21094
CA

Other

Enumeration date
02/13/2021
Last updated
02/13/2021
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