Individual
AMANDA L GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-2300
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0134341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712790
ACN GROUP, INC
NY
Enumeration date
01/07/2008
Last updated
01/07/2008
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