Individual
MS. AMY ELIZABETH MARKS
Active
Individual
MS. AMY ELIZABETH MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5618
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139PA
BLUECROSS BLUESHIELD
NC
05
—
7301795
—
NC
01
—
E2958
MEDCOST
NC
Enumeration date
08/23/2006
Last updated
04/09/2014
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