Provider Demographics
NPI:1275708034
Name:HILL, AMY C (OTR)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:C
Last Name:HILL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11979 CABRI LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7810
Mailing Address - Country:US
Mailing Address - Phone:317-570-8933
Mailing Address - Fax:317-594-9743
Practice Address - Street 1:11979 CABRI LN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7810
Practice Address - Country:US
Practice Address - Phone:317-570-8933
Practice Address - Fax:317-594-9743
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002979A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist