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NPI Code Detail

MEDICARE: AMANDA E STURM MS, OTR/L

MEDICARE: AMANDA E STURM MS, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist131969KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2131969OTHERKYKENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY

General Provider Information

NPI Number : 1003121054
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA E STURM MS, OTR/L
Provider Business Mailing Address
First Line : 3235 OLIVET CHURCH RD STE D
Second Line :
City : PADUCAH
State : KY
Zip : 42001-9545
Country : US
Telephone Number : 270-556-3933
Fax Number :
Provider Business Practice Location Address
First Line : 3235 OLIVET CHURCH RD STE D
Second Line :
City : PADUCAH
State : KY
Zip : 42001-9545
Country : US
Telephone Number : 270-443-5712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2010
Last Update Date : 12/29/2022

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