Provider Demographics
NPI:1942588165
Name:BAUER, AMANDA JOYCE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:JOYCE
Last Name:BAUER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:JOYCE
Other - Last Name:VANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1386 FLANNAGAN CT
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6941
Mailing Address - Country:US
Mailing Address - Phone:720-383-1908
Mailing Address - Fax:
Practice Address - Street 1:671 MITCHELL WAY STE 210
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-5446
Practice Address - Country:US
Practice Address - Phone:720-260-8436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist