Provider Demographics
NPI:1821504325
Name:VO, AMANDA THUY ANH (OT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:THUY ANH
Last Name:VO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8065 DAISY HILL DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-6578
Mailing Address - Country:US
Mailing Address - Phone:916-743-8297
Mailing Address - Fax:
Practice Address - Street 1:38 W 32ND ST STE 604
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3884
Practice Address - Country:US
Practice Address - Phone:916-743-8297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2021-05-24
Deactivation Date:2021-05-03
Deactivation Code:
Reactivation Date:2021-05-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist