Provider Demographics
NPI:1881902831
Name:ORR, AMY TERESA (LMT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:TERESA
Last Name:ORR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5589 DAY DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2701
Mailing Address - Country:US
Mailing Address - Phone:513-608-8309
Mailing Address - Fax:
Practice Address - Street 1:5589 DAY DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2701
Practice Address - Country:US
Practice Address - Phone:513-608-8309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7831172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist