Individual
AMANDA JANE WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
39 CALEMAD DR, AUBURN, NY 13021-9261
(315) 604-0777
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
026537
NY
Other
Enumeration date
01/25/2022
Last updated
08/16/2024
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