Individual
CYNTHIA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., OTR/L
Contact information
Practice address
590 FISHERS STATION DR, SUITE 130, VICTOR, NY 14564-9744
(585) 924-7207
(585) 924-7049
Mailing address
590 FISHERS STATION DR, SUITE 130, VICTOR, NY 14564-9744
(585) 924-7207
(585) 924-7049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000802-1
NY
225X00000X
Occupational Therapist
Primary
000802-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-0213081
TAX ID
NY
Enumeration date
01/25/2007
Last updated
02/03/2020
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