Healthcare Provider Details

I. General information

NPI: 1528892668
Provider Name (Legal Business Name): AMBER LYNN OCZOWINSKI DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3278 STUARTS DRAFT HWY STE 4
WAYNESBORO VA
22980-7370
US

IV. Provider business mailing address

6 OLD SCHOOLHOUSE RD
LANCASTER NY
14086-9646
US

V. Phone/Fax

Practice location:
  • Phone: 540-627-5030
  • Fax: 540-627-5030
Mailing address:
  • Phone: 716-264-9679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number053095
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305216764
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: