Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Gibson Soper, MAOTR/L

Individual provider Occupational Therapist · NPI 1164662672

Amanda Gibson Soper, MAOTR/L is an Occupational Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

2999 Cleveland Ave
Santa Rosa, CA 95403-2761
Phone: (707) 546-9160
Fax: (707) 546-1338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT9336 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence OT9336 (CA)

Record details

NPI number1164662672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAOTR/L
Sole proprietorNo
NPI enumeratedFebruary 23, 2009
Last updated in NPPESFebruary 23, 2009

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