Individual
AMANDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2200 HAMNER AVE STE 107, NORCO, CA 92860-2673
(951) 340-0431
Mailing address
181 S LEWIS ST APT 317, ORANGE, CA 92868-2938
(951) 545-4044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15657
CA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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