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Individual

MRS. AMY JEANETTE RIEDERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA OTR/L

Contact information

Practice address
252 HENNEPIN RD, GRAND ISLAND, NY 14072-2325
(716) 774-8329
Mailing address
252 HENNEPIN RD, GRAND ISLAND, NY 14072-2325
(716) 774-8329

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
012651
NY
225XP0200X
Pediatric Occupational Therapist
Primary
012651
NY

Other

Enumeration date
10/02/2008
Last updated
10/02/2008
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