Individual
MRS. AMANDA GRACE SOSUNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
459 WATCHUNG AVE, WATCHUNG, NJ 07069-4945
(908) 274-0988
Mailing address
459 WATCHUNG AVE, WATCHUNG, NJ 07069-4945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
025779
NY
225X00000X
Occupational Therapist
Primary
46TR01009900
NJ
Other
Enumeration date
06/28/2021
Last updated
03/06/2025
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