Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Amanda Marie Gannon, MSOTR/L

Individual provider Occupational Therapist · NPI 1366719759

Mrs. Amanda Marie Gannon, MSOTR/L is an Occupational Therapist in Troy, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

597 3rd Ave
Troy, NY 12182-2509
Phone: (518) 233-0703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 016997-1 (NY)

Record details

NPI number1366719759
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedNovember 29, 2011
Last updated in NPPESNovember 13, 2012

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