Provider Demographics
NPI:1083843486
Name:TROBIS, AMY SUE (OT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SUE
Last Name:TROBIS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-9751
Mailing Address - Country:US
Mailing Address - Phone:501-882-6660
Mailing Address - Fax:501-882-9825
Practice Address - Street 1:27 HWY 64 W
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-2094
Practice Address - Country:US
Practice Address - Phone:501-882-6660
Practice Address - Fax:501-882-9825
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist