Provider Demographics
NPI:1063477560
Name:LLOYD, AMY SUE (OT/L)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SUE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25512 W EUCLID RD
Mailing Address - Street 2:
Mailing Address - City:REARDAN
Mailing Address - State:WA
Mailing Address - Zip Code:99029-9600
Mailing Address - Country:US
Mailing Address - Phone:509-473-2361
Mailing Address - Fax:
Practice Address - Street 1:711 S COWLEY ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1330
Practice Address - Country:US
Practice Address - Phone:509-473-6000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001067225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist