Healthcare Provider Details

I. General information

NPI: 1568047025
Provider Name (Legal Business Name): AMANDA BIHR OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 TURNBURY DR
GREENVILLE NC
27858-6168
US

IV. Provider business mailing address

1298 WINDSONG DR
GREENVILLE NC
27858-9742
US

V. Phone/Fax

Practice location:
  • Phone: 252-341-9944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number13851
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: