Individual
AMANDA ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
630 66TH ST, NIAGARA FALLS, NY 14304-2212
(716) 286-4211
Mailing address
630 66TH ST, NIAGARA FALLS, NY 14304-2212
(716) 286-4211
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024367
NY
Other
Enumeration date
01/27/2020
Last updated
12/29/2022
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