Provider Demographics
NPI:1447438700
Name:SENA, AMY L (MPT)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:SENA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3187 WESTERN ROW RD
Mailing Address - Street 2:102
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8045
Mailing Address - Country:US
Mailing Address - Phone:513-459-8599
Mailing Address - Fax:
Practice Address - Street 1:3187 WESTERN ROW RD
Practice Address - Street 2:102
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8045
Practice Address - Country:US
Practice Address - Phone:513-459-8599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPT05286225100000X
OHPT012045225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT012045OtherPHYSICAL THERAPY