Individual
MRS. AMY B GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
1281 E MAIN ST, STAMFORD, CT 06902-3544
(203) 210-2840
(203) 210-2841
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002535
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
08/01/2006
Last updated
11/06/2019
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