Provider Demographics
NPI:1750653960
Name:KARNES, AMY ELIZABETH (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ELIZABETH
Last Name:KARNES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:VAN STEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30907 W. AMELIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-6861
Mailing Address - Country:US
Mailing Address - Phone:503-430-9538
Mailing Address - Fax:
Practice Address - Street 1:5550 PEACHTREE PKWAY #500 SOLIANT
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2555
Practice Address - Country:US
Practice Address - Phone:800-849-5502
Practice Address - Fax:770-908-2203
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1036302174400000X
AZOTA-046812224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No174400000XOther Service ProvidersSpecialist