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NPI Code Detail

MEDICARE: MRS. AMY H OVERMAN MPT

MEDICARE:  MRS. AMY H OVERMAN  MPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1417241027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY H OVERMAN MPT
Provider Business Mailing Address
First Line : 7401 CARMEL EXECUTIVE PARK DR STE 305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4219
Country : US
Telephone Number : 980-785-3773
Fax Number :
Provider Business Practice Location Address
First Line : 7401 CARMEL EXECUTIVE PARK DR STE 305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4219
Country : US
Telephone Number : 980-785-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 07/03/2025

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Directions to “ MRS. AMY H OVERMAN MPT” Practice Location

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