Individual
AMANDA TIARA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8254 233RD ST, BELLEROSE MANOR, NY 11427-2114
(646) 671-0088
Mailing address
8254 233RD ST, BELLEROSE MANOR, NY 11427-2114
(646) 671-0088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028909
NY
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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