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NPI Code Detail

MEDICARE: MS. AMY KATHLEEN CULPERT OTR

MEDICARE: MS. AMY KATHLEEN CULPERT OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0870NV

General Provider Information

NPI Number : 1255544219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY KATHLEEN CULPERT OTR
Provider Business Mailing Address
First Line : 251 S GREEN VALLEY PKWY
Second Line : #1511
City : HENDERSON
State : NV
Zip : 89012-2372
Country : US
Telephone Number : 859-536-0751
Fax Number :
Provider Business Practice Location Address
First Line : 2625 E SAINT LOUIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4200
Country : US
Telephone Number : 702-799-6903
Fax Number : 702-799-1502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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