Martin N/a Amaro, COTA

Individual provider Active NPI Occupational Therapy Assistant · Chester, PA

NPI 1093471260 · NPPES record last updated Nov 11, 2021

Key facts

NPI
1093471260
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
U2-0012209 (DE)
Practice address
2507 Chestnut St
Chester, PA 19013-4841
Phone
(610) 872-5373
NPI assigned
Nov 11, 2021
Sex
Male
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
U2-0012209DEMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X U2-0012209 DE Yes

Addresses

Primary practice location

2507 Chestnut St
Chester, PA 19013-4841

Mailing address

218 Lorewood Ave
Wilmington, DE 19804-1417
Phone (302) 588-4984

Other providers in Chester, PA

All providers in Chester, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.