Amy S Osbahr, OTR/L
Individual provider Active NPI Occupational Therapist · Avoca, IA
NPI 1679701411 · NPPES record last updated Jul 1, 2009
Key facts
- NPI
- 1679701411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 01659 (IA)
- Practice address
- 1209 N Cherry St
Avoca, IA 51521-5058 - Phone
- (712) 343-3004
- NPI assigned
- Jul 1, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1289 | NE | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01659 | IA | Yes |
| Occupational Therapist | 225X00000X | 1289 | NE |
Addresses
Primary practice location
1209 N Cherry St
Avoca, IA 51521-5058
Mailing address
1209 N Cherry St
PO Box 566
Avoca, IA 51521-5058
Phone (712) 343-3004
Other providers in Avoca, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.