Provider Demographics
NPI:1265166425
Name:ROCHFORD, AMY MARIE (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARIE
Last Name:ROCHFORD
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7848 S VALLEYHEAD WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7452
Mailing Address - Country:US
Mailing Address - Phone:952-250-2414
Mailing Address - Fax:
Practice Address - Street 1:7848 S VALLEYHEAD WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7452
Practice Address - Country:US
Practice Address - Phone:952-250-2414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005638225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist