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Individual

MRS. AMY MICHELLE SHUMYLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, BCP

Contact information

Practice address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 322-8250
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 322-8250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
05/16/2007
Last updated
04/22/2025
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