Individual
AMY MARIE ANDREESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9600
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1508
NE
225X00000X
Occupational Therapist
2266
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477702
—
NE
Enumeration date
08/09/2010
Last updated
12/06/2023
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