MEDICARE: MRS. AMANDA ELIZABETH QUO MOT, 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
1	225X00000X	Occupational Therapist	46TR00877000	NJ

General Provider Information

NPI Number	:	1801720982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA ELIZABETH QUO MOT, OTR/L

Provider Business Mailing Address
First Line	:	3069 ENGLISH CREEK AVE
Second Line	:	SUITE 221, 2ND FLOOR
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-9708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3069 ENGLISH CREEK AVE
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-9708
Country	:	US
Telephone Number	:	609-272-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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