Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 NASSAU BLVD, WEST HEMPSTEAD, NY 11552-2852
(516) 390-3160
Mailing address
2265 LOCUST ST, MERRICK, NY 11566-2811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023893
NY
Other
Enumeration date
09/06/2019
Last updated
10/18/2024
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