Healthcare Provider Details

I. General information

NPI: 1992308233
Provider Name (Legal Business Name): MRS. AMY MARIE DUVALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 W BATH RD
CUYAHOGA FALLS OH
44223-2516
US

IV. Provider business mailing address

186 W BATH RD
CUYAHOGA FALLS OH
44223-2516
US

V. Phone/Fax

Practice location:
  • Phone: 330-922-9911
  • Fax:
Mailing address:
  • Phone: 330-922-9911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number10299
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: