Amanda Nicole Deyo, OT

NPI #1245279611 in Holbrook, New York

Provider Information

NPI Number: 1245279611
Entity Type: Individual
Name: Amanda Nicole Deyo, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 4, 2006
Last Updated: Jun 3, 2016

Practice Location

Address: 20 PEACHTREE CT
Address 2: #105
City: Holbrook
State: New York
ZIP Code: 11741-4616
Phone: (631) 467-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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