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Individual

AMANDA NOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
41769 ENTERPRISE CIR N, TEMECULA, CA 92590-5626
(510) 775-4937
Mailing address
34456 RADIANCE ST, WINCHESTER, CA 92596-9652

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
03/03/2014
Last updated
08/15/2022
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