Individual
AMANDA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 W 25TH ST APT 3B, NEW YORK, NY 10001-5814
(917) 439-8136
Mailing address
365 WEST 25TH STREET, APT 3B, NEW YORK, NY 10001
(917) 439-8136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009327
NY
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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