Provider Demographics
NPI:1326496969
Name:MAHER, AMY INEZ (OTR/L)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:INEZ
Last Name:MAHER
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 1:2243 OLD CAHABA PL
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-7066
Mailing Address - Country:US
Mailing Address - Phone:205-218-3245
Mailing Address - Fax:
Practice Address - Street 1:2243 OLD CAHABA PL
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-7066
Practice Address - Country:US
Practice Address - Phone:205-218-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4251225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4251OtherNONE