NPI 1336605161 · live from the CMS NPI Registry
Elizabeth Amidon
Occupational Therapist in Jacksonville, NC. National Provider Identifier 1336605161, active.
NPI record
| NPI | 1336605161 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 410 New Bridge St Ste 10a, Jacksonville, NC 28540 |
| Practice phone | 910-347-2212 |
| Enumerated | February 18, 2019 |
| Last updated | February 18, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 12362 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.