Provider Demographics
NPI:1134518707
Name:VOLZ, AMY ROMAINE (MS, OTR)
Entity type:Individual
Prefix:MISS
First Name:AMY
Middle Name:ROMAINE
Last Name:VOLZ
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BREWERYTOWN CT
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-4431
Mailing Address - Country:US
Mailing Address - Phone:570-351-1180
Mailing Address - Fax:
Practice Address - Street 1:32 BREWERYTOWN CT
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-4431
Practice Address - Country:US
Practice Address - Phone:570-351-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-20
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019263-1225XP0200X
PAOC015009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOC015009OtherPA BOARD OF OCCUPATIONAL THERAPY