Individual
AMY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1560
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y004021NH01
ANTHEM
NH
01
—
4126960
MVP HEALTHCARE
NH
Enumeration date
05/15/2007
Last updated
07/21/2022
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