MEDICARE: AMI P. MISTRY 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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1649367392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMI P. MISTRY OTR/L

Provider Business Mailing Address
First Line	:	1515 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2056
Country	:	US
Telephone Number	:	740-953-1184
Fax Number	:	614-702-7226

Provider Business Practice Location Address
First Line	:	1515 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2056
Country	:	US
Telephone Number	:	740-953-1184
Fax Number	:	614-953-1184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/23/2020

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Directions to “ AMI P. MISTRY OTR/L” Practice Location

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