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Individual

MRS. AMY BAUDISTEL VANCAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1063 HAYWOOD RD, ASHEVILLE, NC 28806-2650
(828) 285-8814
(828) 285-9144
Mailing address
49 JOHNSTON BLVD, ASHEVILLE, NC 28806-1863
(828) 545-3556

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5340
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141HN
BLUE CROSS BLUE SHIELD NC
NC
05
7301886
NC
Enumeration date
05/22/2006
Last updated
05/05/2008
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