Individual
AMANDA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1700 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-1634
(925) 937-1700
Mailing address
1700 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-1634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25203
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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