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Individual

AMY STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
800 E OHIO AVE, ESCONDIDO, CA 92025-3421
(760) 747-1275
Mailing address
1335 LA HAINA ST, RAMONA, CA 92065-2781
(760) 440-0156

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4525
CA

Other

Enumeration date
06/05/2019
Last updated
06/05/2019
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