Individual
AMY WALROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 E 205TH ST APT 6E, BRONX, NY 10467-4439
(347) 837-5438
Mailing address
375 E 205TH ST APT 6E, BRONX, NY 10467-4439
(347) 837-5438
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
004466-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
5202008257
MI
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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