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NPI Code Detail

MEDICARE: AMY L. CONFORTI O.T.

MEDICARE: AMY L. CONFORTI O.T.
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 Therapist0119-001615VA

General Provider Information

NPI Number : 1386775013
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY L. CONFORTI O.T.
Provider Business Mailing Address
First Line : 3604 VIEW AVE
Second Line :
City : ROANOKE
State : VA
Zip : 24018-4012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 S MAPLE ST
Second Line :
City : VINTON
State : VA
Zip : 24179-2522
Country : US
Telephone Number : 540-266-6950
Fax Number : 540-343-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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