Provider Demographics
NPI:1477677391
Name:HIRSCHEL, AMY JO (OTR)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:HIRSCHEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1439 MEANDER DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-4102
Mailing Address - Country:US
Mailing Address - Phone:630-364-1315
Mailing Address - Fax:
Practice Address - Street 1:1439 MEANDER DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-4102
Practice Address - Country:US
Practice Address - Phone:630-364-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist