Provider Demographics
NPI:1275791956
Name:ORNELAS, AMY SABA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SABA
Last Name:ORNELAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:SABA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:13720 MIDWAY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4313
Mailing Address - Country:US
Mailing Address - Phone:214-646-1449
Mailing Address - Fax:214-699-8962
Practice Address - Street 1:13720 MIDWAY RD STE 107
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4313
Practice Address - Country:US
Practice Address - Phone:214-646-1449
Practice Address - Fax:214-699-8962
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110436225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics