Individual
AMY P FORWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 WASHBURN RD, TALLMADGE, OH 44278-2612
(832) 506-6648
Mailing address
116 WASHBURN RD, TALLMADGE, OH 44278-2612
(832) 506-6648
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VP033967
—
OH
Enumeration date
02/03/2023
Last updated
02/03/2023
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