Individual
AMANDA JOY KAISER FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6070 AVENIDA ENCINAS, CARLSBAD, CA 92011-1001
(760) 444-0102
Mailing address
9512 DOMER RD, SANTEE, CA 92071-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18338
CA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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