Provider Demographics
NPI:1851415921
Name:LAFFERTY, AMY LYNNETTE (MS, OTR-L, LMT)
Entity Type:Individual
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First Name:AMY
Middle Name:LYNNETTE
Last Name:LAFFERTY
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Gender:F
Credentials:MS, OTR-L, LMT
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Mailing Address - Street 1:131 NW HAWTHORNE AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2957
Mailing Address - Country:US
Mailing Address - Phone:541-390-4361
Mailing Address - Fax:541-389-4101
Practice Address - Street 1:1230 NE 3RD ST
Practice Address - Street 2:SUITE A165
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4331
Practice Address - Country:US
Practice Address - Phone:541-390-4361
Practice Address - Fax:541-389-4101
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2016-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR979838225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist