Individual
AMANDA TEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S FORDHAM RD, HICKSVILLE, NY 11801-6066
(516) 749-7816
Mailing address
100 S FORDHAM RD, HICKSVILLE, NY 11801-6066
(516) 749-7816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019725-1
NY
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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