AMANDA SHIRLEY WALLER

BUFFALO, NY
NPI1700122256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  007631-1)
Enumeration Date2013-01-02
Last Update Date2013-01-02
Business Address
-- AMANDA SHIRLEY WALLER COTA/L
50 EAST NORTH STREET
BUFFALO, NY 14203
Phone number: 716-885-8318
Mailing Address
-- AMANDA SHIRLEY WALLER COTA/L
3119 SMITH RD
CASSADAGA, NY 14718-9640
Phone number: 716-474-5232
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