NPI 1861625873 · live from the CMS NPI Registry
Samantha Lynne Ameredes, OTR/L
Occupational Therapist in Mooresville, NC. National Provider Identifier 1861625873, active.
NPI record
| NPI | 1861625873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 550 Glenwood Dr, Mooresville, NC 28115 |
| Practice phone | 704-664-7494 |
| Mailing address | 15718 Seafield Ln, Huntersville, NC 28078 |
| Enumerated | August 25, 2009 |
| Last updated | August 25, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 7276 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.