Individual
AMANDA NICOLE DEYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20 PEACHTREE CT, #105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Mailing address
127 BEACON RD, GLENMONT, NY 12077-3244
(631) 467-3700
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013398
NY
Other
Enumeration date
06/04/2006
Last updated
06/03/2016
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