Amy Cameron, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Lewisport, KY

NPI 1003367756 · NPPES record last updated Oct 18, 2016

Key facts

NPI
1003367756
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
A5187 (KY)
Practice address
8005 US Highway 60 W
Lewisport, KY 42351-7079
Phone
(270) 295-6756
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A5187KYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A5187 KY Yes

Addresses

Primary practice location

8005 US Highway 60 W
Lewisport, KY 42351-7079

Mailing address

450 Stump Newman Rd
Hawesville, KY 42348-6250
Phone (270) 903-7738

Other providers in Lewisport, KY

All providers in Lewisport, KY · Occupational Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.