Individual
MRS. AMY LYNN GROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9487 LEYTON DR, HARRISBURG, NC 28075-5629
(716) 523-2425
Mailing address
9487 LEYTON DR, HARRISBURG, NC 28075-5629
(716) 523-2425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7950
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7950
NATIONAL BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
10/23/2008
Last updated
11/21/2012
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