Individual
MISS AMANDA JEAN ENTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
3599 BIG RIDGE RD, SPENCERPORT, NY 14559-1709
(585) 352-2400
Mailing address
7 DAWNHAVEN DR, ROCHESTER, NY 14624-1652
(585) 705-2926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021675
NY
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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