Amanda M Thrall, MS,OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Brewerton, NY
NPI 1467765008 · NPPES record last updated Jul 25, 2010
Key facts
- NPI
- 1467765008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 015270-1 (NY)
- Practice address
- 9558 Neva LN
Brewerton, NY 13029-9750 - Phone
- (315) 396-6409
- NPI assigned
- Jul 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015270-1 | NY | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 015270-1 | NY | Yes |
Addresses
Primary practice location
9558 Neva LN
Brewerton, NY 13029-9750
Mailing address
9558 Neva LN
Brewerton, NY 13029-9750
Phone (315) 396-6409
Other providers in Brewerton, NY
- Timothy Restrepo I
- Lisa Erika Roszyk
- Stephanie Sessa
- Cicero Stroman Sr.
- Mary Anne Jessica Taylor-Lamb
- Timothy Okeefe MD PC
- Tom McCue IV DDS PC
- Vince Markowsky, LCSW, PC
- Janet Lynn Wells
- Claire Elise Wood
All providers in Brewerton, NY · Pediatric Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.