Individual
AMANDA SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
248 W 35TH ST, NEW YORK, NY 10001-2505
(212) 453-0036
(212) 453-0037
Mailing address
248 W 35TH ST, NEW YORK, NY 10001-2505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008230-1
NY
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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