Healthcare Provider Details

I. General information

NPI: 1750479713
Provider Name (Legal Business Name): AMBER E BISHOP MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 BROOK RD
RICHMOND VA
23220-1215
US

IV. Provider business mailing address

3907 SEMINARY AVE
RICHMOND VA
23227-4107
US

V. Phone/Fax

Practice location:
  • Phone: 804-321-7474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119002977
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119002977
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: