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Individual

AMANDA TESORIERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
175 LAWRENCE AVE, BROOKLYN, NY 11230-1102
(718) 436-7979
Mailing address
9109 FOSTER AVE, BROOKLYN, NY 11236-1713
(718) 272-2406

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016354
NY

Other

Enumeration date
09/09/2010
Last updated
09/09/2010
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