Individual
AMY FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(814) 577-9268
Mailing address
725 WELCH ROAD, PALO ALTO, CA 94304
(814) 577-9268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
943304516
GROUP
—
Enumeration date
05/04/2010
Last updated
01/30/2012
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