Provider Demographics
NPI:1417241027
Name:OVERMAN, AMY H (MPT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:H
Last Name:OVERMAN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:HEPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:365 N NEW HOPE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4719
Mailing Address - Country:US
Mailing Address - Phone:704-869-8030
Mailing Address - Fax:704-869-0457
Practice Address - Street 1:1901 S MAIN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6600
Practice Address - Country:US
Practice Address - Phone:540-552-3422
Practice Address - Fax:540-552-2296
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist