Provider Demographics
NPI:1407507148
Name:DELUCA, AMBER YARDLEY (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:YARDLEY
Last Name:DELUCA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 TEAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-2834
Mailing Address - Country:US
Mailing Address - Phone:609-846-5480
Mailing Address - Fax:
Practice Address - Street 1:207 COURT HOUSE SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1968
Practice Address - Country:US
Practice Address - Phone:610-768-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist