Individual
DR. AMANDA CATHERINE THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
740 S PLACENTIA AVE, PLACENTIA, CA 92870-6832
(714) 646-8318
Mailing address
2331 S GRAND AVE APT 3, SAN PEDRO, CA 90731-5917
(310) 528-4595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20451
CA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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