Individual
AMANDA ROSE SUCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., OTR/L
Contact information
Practice address
65 COURT ST, BROOKLYN, NY 11201-4916
(646) 721-2516
Mailing address
21938 67TH AVE, BAYSIDE, NY 11364-2601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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