Individual provider · Type 1 NPI

Amanda Marie Gannon, MS OTR/L

Occupational Therapist · Troy, NY

NPI number 1366719759 Active

Practice location

597 3rd Ave
Troy, NY 12182-2509

Mailing address

1371 Division St
Charlton, NY 12019-2907

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X016997-1 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1366719759

Amanda Marie Gannon, MS OTR/L's National Provider Identifier is 1366719759, issued on Nov 29, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Troy, NY. The record was last updated on Nov 13, 2012.