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NPI Code Detail

MEDICARE: AMY MORTON OTR/L

MEDICARE: AMY MORTON 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 Therapist056012114IL

General Provider Information

NPI Number : 1902314826
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MORTON OTR/L
Provider Business Mailing Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 312-243-8487
Fax Number :
Provider Business Practice Location Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 312-243-8487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2018
Last Update Date : 11/03/2024

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Directions to “ AMY MORTON OTR/L” Practice Location

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