Provider Demographics
NPI:1427388842
Name:BOHN, AMY SUZANNE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:SUZANNE
Last Name:BOHN
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 1:3280 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 345
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4111
Mailing Address - Country:US
Mailing Address - Phone:404-477-0427
Mailing Address - Fax:404-477-0447
Practice Address - Street 1:3280 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 345
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4111
Practice Address - Country:US
Practice Address - Phone:404-477-0427
Practice Address - Fax:404-477-0447
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003946225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist