| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA RAE GAYNOR | 1952052417 | 2022-01-15 |
Amanda Rae Gaynor is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952052417. Registration indicates Amanda Rae Gaynor is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist: Pediatrics, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Occupational Therapist, ) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist) (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Amanda Rae Gaynor OTR/L |
| Practice Office Address | 1772 E JERICHO TPKE HUNTINGTON, NY US |
| Practice Office Telephone | 6313682583 |
| Practice Office Fax | 6313685357 |
| Mailing Address | 1159 5TH AVE EAST NORTHPORT, NY 117312632 US |
| Business Telephone | 6319442479 |
| Code | Practice | License No State |
|---|---|---|
| 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist: Pediatrics Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Pediatrics Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | 026495
NY |
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 026495
NY |