Individual
AMANDA GROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
113 CODY AVE, SYRACUSE, NY 13204-1831
(315) 530-0050
Mailing address
10 DANILUK DR, CAMILLUS, NY 13031-9626
(315) 530-0050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024903
NY
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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