Individual
AMANDA TEDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 BERGENLINE AVE # 18, WEST NEW YORK, NJ 07093-1719
(201) 854-5511
(201) 854-8808
Mailing address
6612 BERGENLINE AVE # 18, WEST NEW YORK, NJ 07093-1719
(201) 854-5511
(201) 854-8808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00859000
NJ
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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