Individual
AMANDA LARUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3570 CAMINO DEL RIO N STE 201, SAN DIEGO, CA 92108-1747
(619) 507-9333
Mailing address
3570 CAMINO DEL RIO N STE 201, SAN DIEGO, CA 92108-1747
(619) 507-9333
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/06/2026
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