Individual
AMY DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
719 SEVERN AVE, METAIRIE, LA 70001-5150
(504) 430-9218
Mailing address
719 SEVERN AVE, METAIRIE, LA 70001-5150
(504) 430-9218
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTT.Z11994
LA
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z11994
LA
Other
Enumeration date
03/19/2007
Last updated
04/16/2018
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