Grace, Amanda

Grace, Amanda is an individual health care provider with primary practice located at 340 Tesconi Cir Ste C , Santa Rosa CA 95401-4676. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Grace, Amanda can be contacted via phone (707) 546-9160.

Contact Information

Primary practice address
340 Tesconi Cir Ste C Santa Rosa CA 95401-4676
Phone: (707) 546-9160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT5383 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT5383 California

Profile Details

NPI number 1033326582
LBN Legal business name Grace, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Oct 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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