Amanda Gibson Soper, MA OTR/L - Occupational Therapist in Santa Rosa, CA

Amanda Gibson Soper, MA OTR/L is a Occupational Therapist - Pediatrics based in Santa Rosa, California. Amanda Gibson Soper is licensed to practice in California (license number OT9336) and her current practice location is 2999 Cleveland Ave, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at (707) 546-9160.

NPI number for Amanda Gibson Soper is 1164662672 and her current mailing address is 2999 Cleveland Ave, Santa Rosa, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164662672.

Contact Information

Amanda Gibson Soper, MA OTR/L
2999 Cleveland Ave,
Santa Rosa, CA 95403-2761
(707) 546-9160
(707) 546-1338

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Gibson Soper
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location2999 Cleveland Ave, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164662672
  • Provider Enumeration Date: 02/23/2009
  • Last Update Date: 02/23/2009

Medical Identifiers

Medical identifiers for Amanda Gibson Soper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164662672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT9336 (California)Secondary
225XP0200XOccupational Therapist - Pediatrics OT9336 (California)Primary

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 Gibson Soper 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 AddressPractice Location Address
Amanda Gibson Soper, MA OTR/L
2999 Cleveland Ave,
Santa Rosa, CA 95403-2761

Ph: (707) 546-9160
Amanda Gibson Soper, MA OTR/L
2999 Cleveland Ave,
Santa Rosa, CA 95403-2761

Ph: (707) 546-9160

Reviews and Comments


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