Individual provider · Type 1 NPI

Amanda Shirley Waller, COTA/L

Occupational Therapy Assistant · Buffalo, NY

NPI number 1700122256 Active

Practice location

50 East North Street
Buffalo, NY 14203

Call (716) 885-8318 Map

Fax (716) 885-0229

Mailing address

3119 Smith Rd
Cassadaga, NY 14718-9640

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X007631-1 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1700122256

Amanda Shirley Waller, COTA/L's National Provider Identifier is 1700122256, issued on Jan 2, 2013. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Buffalo, NY. The record was last updated on Jan 2, 2013.