Provider Demographics
NPI:1295012995
Name:FRENCH, AMY S (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:S
Last Name:FRENCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 SHELTON CIR
Mailing Address - Street 2:UNIT 309
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-6725
Mailing Address - Country:US
Mailing Address - Phone:502-550-9722
Mailing Address - Fax:
Practice Address - Street 1:6501 SHELTON CIR
Practice Address - Street 2:UNIT 309
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-6725
Practice Address - Country:US
Practice Address - Phone:502-550-9722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR0246225X00000X
IN31000955A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist