Individual
AMANDA SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 SHOWERS DR STE 7, BOX 128, MOUNTAIN VIEW, CA 94040-1495
(650) 861-7531
Mailing address
530 SHOWERS DR STE 7, BOX 128, MOUNTAIN VIEW, CA 94040-1495
(650) 861-7531
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT14430
CA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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