Provider Demographics
NPI:1134420532
Name:LOSIER, AMY NICOLE (OTR/L, MS)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:NICOLE
Last Name:LOSIER
Suffix:
Gender:F
Credentials:OTR/L, MS
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:NICOLE
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8540 SCARBOROUGH DR STE 300
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7519
Mailing Address - Country:US
Mailing Address - Phone:719-597-0822
Mailing Address - Fax:719-599-4606
Practice Address - Street 1:8540 SCARBOROUGH DR STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7519
Practice Address - Country:US
Practice Address - Phone:719-597-0822
Practice Address - Fax:719-599-4606
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 14289225XP0200X
COOT.0003606225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics