Amanda Grace
Occupational Therapist Mental Health Counselor Occupational Therapist - Pediatrics
340 Tesconi Cir Ste C
Santa Rosa
, California 95401-4676
Amanda Grace
Occupational Therapist Mental Health Counselor Occupational Therapist - Pediatrics
340 Tesconi Cir Ste C
Santa Rosa
, California 95401-4676
(707) 546-9160
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About
Features
Specialties
- Mental Health Counselor
- Occupational Therapist
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Amanda Grace
- 340 Tesconi Cir Ste C
- Santa Rosa, CA
- Zip : 95401-4676
- Phone : (707) 546-9160
Second Address
- Amanda Grace
- 340 Tesconi Cir Ste C
- Santa Rosa, CA
- Zip : 95401-4676
- Phone : (707) 546-9160
Reviews
FAQs
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What type of doctor is Amanda Grace
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Where is Amanda Grace ’s practice located?
What is Amanda Grace ’s gender?
Is Amanda Grace a sole practitioner?
Is Amanda Grace accepting new patients?
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Does Amanda Grace offers telemedicine?
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Does Amanda Grace have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | ||
| N | 225X00000X | Occupational Therapist | OT5383 | CA |
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT5383 | CA |
National Provider Identifier
| NPI | 1033326582 |
|---|---|
| Provider Name | Amanda Grace |
| First Address | Santa Rosa, CA 95401-4676 |
| Second Address | Santa Rosa, CA 95401-4676 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 24/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.