AMANDA GRACE SOSUNOV

FAIR LAWN, NJ
NPI1851961254
Former NameAMANDA GRACE FALSETTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR01009900)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NY  025779)
Enumeration Date2021-06-28
Last Update Date2023-12-04
Business Address
Mrs. AMANDA GRACE SOSUNOV MOT, OTR/L
2-22 BANTA PL
FAIR LAWN, NJ 07410-3058
Phone number: 732-784-3578
Mailing Address
Mrs. AMANDA GRACE SOSUNOV MOT, OTR/L
2-22 BANTA PL
FAIR LAWN, NJ 07410-3058
Phone number: