Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | CA |
NPI | 1295256303 |
---|---|
Provider Name | Amanda M. Dunbar |
First Address | Napa, CA 94558-4622 |
Second Address | San Francisco, CA 94143-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2017 |
Last Update Date | 28/06/2017 |