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NPI Code Detail

MEDICARE: AMY HOWELL OT/L

MEDICARE: AMY HOWELL OT/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 Therapist0119001924VA
2225XG0600XGerontology Occupational Therapist0119001924VA

General Provider Information

NPI Number : 1336272376
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HOWELL OT/L
Provider Business Mailing Address
First Line : 3433 MANOR GROVE CIR
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-4671
Country : US
Telephone Number : 804-929-0540
Fax Number :
Provider Business Practice Location Address
First Line : 2960 CHELSEA RD
Second Line :
City : WEST POINT
State : VA
Zip : 23181-9793
Country : US
Telephone Number : 804-929-0540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 01/29/2025

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