Healthcare Provider Details

I. General information

NPI: 1699206227
Provider Name (Legal Business Name): AMANDA HEGY OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N MONITOR ST
WEST POINT NE
68788-1555
US

IV. Provider business mailing address

358 DEBORAH AVE
FREMONT NE
68025-9791
US

V. Phone/Fax

Practice location:
  • Phone: 402-372-4057
  • Fax: 402-372-6773
Mailing address:
  • Phone: 402-659-8046
  • Fax: 402-372-6773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1422
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: