Individual
MS. AMANDA MARIE WILLNERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17850 LINDEN BLVD, JAMAICA, NY 11434-1467
(718) 990-0300
Mailing address
300 E 93RD ST, APT. #27A, NEW YORK, NY 10128-6101
(713) 392-4489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014809-1
NY
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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