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Individual

AMANDA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6200
Mailing address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14535
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14535
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
327753
NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY
Enumeration date
09/08/2016
Last updated
01/06/2017
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