Individual
AMANDA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1635 OHIO ST, WATERTOWN, NY 13601-3032
(315) 786-7285
Mailing address
1635 OHIO ST, WATERTOWN, NY 13601-3032
(315) 786-7285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046831
AZ
Other
Enumeration date
03/29/2016
Last updated
06/06/2023
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