Individual
AMANDA MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13965 LEWISTON ST, SAN DIEGO, CA 92128-4323
(858) 705-0533
Mailing address
PO BOX 501863, SAN DIEGO, CA 92150-1863
(858) 705-0533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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