Individual
AMANDA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
1035 BEACH RD, APT F2, CHEEKTOWAGA, NY 14225-1278
(585) 748-2018
Mailing address
1035 BEACH RD, APT F2, CHEEKTOWAGA, NY 14225-1278
(585) 748-2018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016390
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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