Healthcare Provider Details

I. General information

NPI: 1225587413
Provider Name (Legal Business Name): AMBER ARTLEY MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 MEDICAL DR
BERMUDA RUN NC
27006-6651
US

IV. Provider business mailing address

126 MEDICAL DR
BERMUDA RUN NC
27006-6651
US

V. Phone/Fax

Practice location:
  • Phone: 336-940-4040
  • Fax: 336-450-4499
Mailing address:
  • Phone: 336-940-4040
  • Fax: 336-450-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10594
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: