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NPI Code Detail

MEDICARE: MRS. AMY COMFORD OTR/L

MEDICARE: MRS. AMY COMFORD OTR/L
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 TherapistOT-003536OH

General Provider Information

NPI Number : 1740605310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY COMFORD OTR/L
Provider Business Mailing Address
First Line : 2140 ATLAS ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-9647
Country : US
Telephone Number : 614-203-8858
Fax Number :
Provider Business Practice Location Address
First Line : 2140 ATLAS ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-9647
Country : US
Telephone Number : 614-203-8858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2014
Last Update Date : 02/21/2014

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