Individual
AMANDA ROSE JUDE CHRUSCICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5176 STATE ROUTE 233, WESTMORELAND, NY 13490-1310
(315) 557-2637
Mailing address
5176 STATE ROUTE 233, WESTMORELAND, NY 13490-1310
(315) 557-2637
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025361
NY
Other
Enumeration date
11/13/2020
Last updated
01/21/2021
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