Individual
AMANDA STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SCHOOL ST, DELEVAN, NY 14042-9803
(716) 492-9300
Mailing address
7626 CENTER RD, WEST FALLS, NY 14170-9614
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
023900
NY
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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