Most Relevant Information
Provider Data
| NPI Number: | 1003416249 |
| Provider Name: | BRIANA RAE AMBESI COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 01031501 |
Most Important Dates
| Enumeration Date: | 10/27/2020 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
2 MERCYCARE LN
GUILDERLAND
NY
120843505
Practice Location Phone/Fax
| Phone: | 5188475292 |
| Fax: |
Provider Mailing Location
8 CONCORD ST
SCOTIA
NY
123022906
Provider Mailing Phone/Fax
| Phone: | 5188475292 |
| Fax: |