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NPI Code Detail

MEDICARE: AMY MORTON OTR

MEDICARE:   AMY  MORTON  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
1225XP0200XPediatric Occupational Therapist31001210AIN

General Provider Information

NPI Number : 1710265442
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MORTON OTR
Provider Business Mailing Address
First Line : 9957 ALLISONVILLE RD
Second Line :
City : FISHERS
State : IN
Zip : 46038-2006
Country : US
Telephone Number : 317-841-7005
Fax Number : 317-841-7029
Provider Business Practice Location Address
First Line : 9957 ALLISONVILLE RD
Second Line :
City : FISHERS
State : IN
Zip : 46038-2006
Country : US
Telephone Number : 317-841-7005
Fax Number : 317-841-7029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2011
Last Update Date : 04/06/2017

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