Individual
AMANDA WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1676 SUNSET AVE, PHYSICAL & OCCUPATIONAL THERAPY UNIT, UTICA, NY 13502-5416
(315) 624-5400
(315) 624-5395
Mailing address
1676 SUNSET AVE, PHYSICAL & OCCUPATIONAL THERAPY UNIT, UTICA, NY 13502-5416
(315) 624-5400
(315) 624-5395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011376
NY
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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