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Contact Information

AMANDA S WALLER, COTA/L
50 EAST NORTH STREET
BUFFALO, NY14203
 Phone: 716-885-8318
 Fax: 716-885-0229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for AMANDA S WALLER · (Female)

NPI # 1700122256
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 01/02/2013
Last updated 01/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 007631-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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