Individual
AMANDA ALEXANDRA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4959 PALO VERDE ST STE 109C, MONTCLAIR, CA 91763-2358
(909) 971-3092
Mailing address
861 N 3RD ST, COLTON, CA 92324-2170
(909) 835-3010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22606
CA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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