Provider Demographics
NPI:1467951061
Name:CANNING, AMIE ELIZABETH (OT)
Entity Type:Individual
Prefix:MS
First Name:AMIE
Middle Name:ELIZABETH
Last Name:CANNING
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:ELIZABETH
Other - Last Name:BURPEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:226 WHISPERING TRAILS ST.
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226
Mailing Address - Country:US
Mailing Address - Phone:207-356-4087
Mailing Address - Fax:
Practice Address - Street 1:226 WHISPERING TRAILS ST
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-4123
Practice Address - Country:US
Practice Address - Phone:207-356-4087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114928225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist