Most Relevant Information
Provider Data
| NPI Number: | 1003462094 |
| Provider Name: | AMANDA M MORTON OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 017004 |
Most Important Dates
| Enumeration Date: | 08/14/2019 |
| Last Updated: | 08/14/2019 |
Provider Practice Location
3767 DELAWARE AVE
KENMORE
NY
142171040
Practice Location Phone/Fax
| Phone: | 7168746175 |
| Fax: |
Provider Mailing Location
505 FAIRMOUNT AVE
JAMESTOWN
NY
147012724
Provider Mailing Phone/Fax
| Phone: | 7166798484 |
| Fax: |