Gannon, Amanda Marie

Gannon, Amanda Marie is an individual health care provider with primary practice located at 597 3Rd Ave , Troy NY 12182-2509. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gannon, Amanda Marie can be contacted via phone (518) 233-0703.

Contact Information

Primary practice address
597 3Rd Ave Troy NY 12182-2509
Phone: (518) 233-0703
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 016997-1 New York

Profile Details

NPI number 1366719759
LBN Legal business name Gannon, Amanda Marie
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Nov 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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