Amber Lynn Ameredes, MOTRL

Individual provider Active NPI Occupational Therapist · Fayetteville, NC

NPI 1780880922 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780880922
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6264 (NC)
Practice address
1601 Purdue Dr
Fayetteville, NC 28304-3674
Phone
(910) 488-1093
NPI assigned
Jun 25, 2007
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
6264NCMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6264 NC Yes

Addresses

Primary practice location

1601 Purdue Dr
Fayetteville, NC 28304-3674

Mailing address

3673 Glenbarry Cir
Fayetteville, NC 28314-2605
Phone (910) 778-9734

Other providers in Fayetteville, NC

All providers in Fayetteville, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.