Individual
AMY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41421 DATE ST STE 101, MURRIETA, CA 92562-7079
(855) 454-3784
(855) 454-3784
Mailing address
PO BOX 893337, TEMECULA, CA 92589-3337
(855) 454-3784
(855) 454-3784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7198
OCCUPATIONAL THERAPY LICENSE
CA
Enumeration date
08/15/2013
Last updated
08/15/2013
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