Individual
AMANDA RENEE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
(916) 382-4447
Mailing address
20 LEO ST APT 2, SAN FRANCISCO, CA 94112-2773
(707) 430-3755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16161
CA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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