Individual
CARLIE RAE AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5552 COOK HILL RD, HORNELL, NY 14843-9736
(585) 610-3885
Mailing address
5552 COOK HILL RD, HORNELL, NY 14843-9736
(585) 610-3885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019099
NY
Other
Enumeration date
09/22/2014
Last updated
09/06/2019
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