Provider Demographics
NPI:1962635805
Name:OO, AMANDA WEI MEI (OTR/L)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:WEI MEI
Last Name:OO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:OO
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:81 HATHAWAY CIR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7209
Mailing Address - Country:US
Mailing Address - Phone:617-501-7056
Mailing Address - Fax:
Practice Address - Street 1:81 HATHAWAY CIR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-7209
Practice Address - Country:US
Practice Address - Phone:617-501-7056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist