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Individual
AMY NICOLE ELGIN
Active
Individual
AMY NICOLE ELGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOL, OTR/L, BCP
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4512
SC
225X00000X
Occupational Therapist
OC005725L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2945
—
SC
Enumeration date
04/15/2009
Last updated
09/09/2015
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