Individual
AMANDA OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3294 E SPRING ST, LONG BEACH, CA 90806-2426
(562) 988-3570
Mailing address
3241 TUCKER LN, LOS ALAMITOS, CA 90720-4823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304596
CA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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