IndividualActive
Amanda Reynolds, COTA/L
NPI 1396108338 · Occupational Therapy Assistant · Watertown, NY
Provider details
- NPI number
- 1396108338
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 046831 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1635 Ohio St
Watertown, NY 13601-3032
Phone: (315) 786-7285
Approximate (ZIP-level) locationGet directions
Mailing address
1635 Ohio St
Watertown, NY 13601-3032
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.