Provider Demographics
NPI:1245429174
Name:JOSEY-LAMONT, AMY HELEN (OT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:HELEN
Last Name:JOSEY-LAMONT
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 1:1372 HAGLEY DR
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-6944
Mailing Address - Country:US
Mailing Address - Phone:843-235-1042
Mailing Address - Fax:
Practice Address - Street 1:1372 HAGLEY DR
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-6944
Practice Address - Country:US
Practice Address - Phone:843-235-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2225225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist