Amanda Grace, is a
Occupational Therapist - Pediatrics based in Santa Rosa, California. Amanda Grace is licensed to practice in California (license number OT5383) and her current practice location is
340 Tesconi Cir Ste C, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 546-9160.
NPI number for Amanda Grace is 1033326582 and her current mailing address is 340 Tesconi Cir Ste C, Santa Rosa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033326582.
Healthcare Provider's Profile
Full Name | Amanda Grace |
---|
Gender | Female |
---|
Speciality | Occupational Therapist - Pediatrics |
---|
Location | 340 Tesconi Cir Ste C, Santa Rosa, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033326582
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 10/24/2012
Medical Identifiers
Medical identifiers for Amanda Grace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033326582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | OT5383 (California) | Primary |
225X00000X | Occupational Therapist | OT5383 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Grace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Grace, 340 Tesconi Cir Ste C, Santa Rosa, CA 95401-4676 Ph: (707) 546-9160 | Amanda Grace, 340 Tesconi Cir Ste C, Santa Rosa, CA 95401-4676 Ph: (707) 546-9160 |
Reviews and Comments