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Individual

AMY PRYLE LEIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
Mailing address
368 ELWORTHY RANCH CIR, DANVILLE, CA 94526-4855
(510) 333-9505

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12713
CA

Other

Enumeration date
07/06/2021
Last updated
07/06/2021
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