Individual
AMANDA ELAINE LA BONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, BCG
Contact information
Practice address
300 MULLINS DR, LEBANON, OR 97355-4054
(541) 918-8832
Mailing address
2814 RIVER RD S APT D, SALEM, OR 97302-9301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
398512
OR
Other
Enumeration date
06/12/2018
Last updated
12/22/2024
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