Individual
MRS. AMANDA LYNN PIEPGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1071 E TREMONT AVE, BRONX, NY 10460-2306
(718) 842-8942
Mailing address
3268 MIDDLETOWN RD, BRONX, NY 10465-1040
(917) 375-9101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005983-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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