Individual
MS. AMY L BRODDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
220 W KENNEDY ST, SYRACUSE, NY 13205-1057
(315) 435-4276
Mailing address
4843 HYDE RD, MANLIUS, NY 13104-9462
(315) 682-4392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008535-1
NY
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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