Individual
AMY DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1391
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y002570NH01
ANTHEM
NH
01
—
781314
MVP
NH
Enumeration date
01/24/2007
Last updated
04/16/2008
Update your record
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