Healthcare Provider Details

I. General information

NPI: 1427528157
Provider Name (Legal Business Name): AMANDA MING-HSUAN HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 TILTON DR
SUNNYVALE CA
94087-2440
US

IV. Provider business mailing address

954 HELEN AVE APT 2
SUNNYVALE CA
94086-9205
US

V. Phone/Fax

Practice location:
  • Phone: 735-720-0408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: