Individual
AMANDA FRANCO BEZERRA-RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032
(212) 305-6005
Mailing address
622 W 168TH ST RM 308, NEW YORK, NY 10032-3720
(212) 305-6005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022316
NY
225X00000X
Occupational Therapist
022316-1
NY
225XP0200X
Pediatric Occupational Therapist
022316-1
NY
Other
Enumeration date
03/21/2018
Last updated
07/30/2019
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