MEDICARE: MS. AMANDA KAYE HILTON 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	3097	SC
2	225X00000X	Occupational Therapist	5938	NC
3	225X00000X	Occupational Therapist	6569	OH
4	225X00000X	Occupational Therapist	5824	MD
5	225X00000X	Occupational Therapist	897	HI
6	225X00000X	Occupational Therapist	10103	CA
7	225X00000X	Occupational Therapist	112113	TX
8	225X00000X	Occupational Therapist	56.008302	IL

General Provider Information

NPI Number	:	1801981519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA KAYE HILTON OTR/L

Provider Business Mailing Address
First Line	:	331 SIMPSON AVE
Second Line	:
City	:	CLARKSBURG
State	:	WV
Zip	:	26301-4012
Country	:	US
Telephone Number	:	304-838-1526
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N SAINT PAUL ST
Second Line	:	SUITE 4200
City	:	DALLAS
State	:	TX
Zip	:	75201-3801
Country	:	US
Telephone Number	:	866-217-6705
Fax Number	:	866-217-1274

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/16/2009

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