Provider Demographics
NPI:1255754446
Name:VOLLMER, AMY SHERMAN (PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:SHERMAN
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 ROUNDHILL DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9352
Mailing Address - Country:US
Mailing Address - Phone:513-839-0615
Mailing Address - Fax:
Practice Address - Street 1:1363 ROUNDHILL DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-9352
Practice Address - Country:US
Practice Address - Phone:513-839-0615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT- 0061342251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT-006134OtherPT LICENSE NUMBER