Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Shirley Waller, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1700122256

Amanda Shirley Waller, COTA/L is an Occupational Therapy Assistant in Buffalo, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

50 E North St
Buffalo, NY 14203
Phone: (716) 885-8318
Fax: (716) 885-0229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 007631-1 (NY)

Record details

NPI number1700122256
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJanuary 2, 2013
Last updated in NPPESJanuary 2, 2013

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