Individual
KIERSTEN AMANDA WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
946 STATE ROUTE 17K, MONTGOMERY, NY 12549-2213
(845) 457-2400
Mailing address
625 ROCK CUT RD, WALDEN, NY 12586-2454
(845) 820-5519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010314
NY
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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