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General NPI Number Information
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NPI Number | 1811428055
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Entity Type | Individual
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Provider Name | AMY D PERCHICK OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 29 WASHINGTON LODE
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-9989
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Country | US
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Telephone | 215-530-1167
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7399 PMB 739
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-7399
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Country | US
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Telephone | 215-530-1167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT0000963
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License Number State | CO
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