Provider Demographics
NPI:1649367392
Name:MISTRY, AMI P (OTR/L)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:P
Last Name:MISTRY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2056
Mailing Address - Country:US
Mailing Address - Phone:740-953-1184
Mailing Address - Fax:614-702-7226
Practice Address - Street 1:1515 BETHEL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2056
Practice Address - Country:US
Practice Address - Phone:740-953-1184
Practice Address - Fax:614-953-1184
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist