IndividualActive
Ami Gydesen, OTR
NPI 1093811549 · Occupational Therapist · Watertown, NY
Provider details
- NPI number
- 1093811549
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 0058651 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
22567 Summit Dr Bldg 2
Watertown, NY 13601-7210
Phone: (315) 779-6784
Approximate (ZIP-level) locationGet directions
Mailing address
22567 Summit Dr Bldg 2
Watertown, NY 13601-7210
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.