Provider Demographics
NPI:1124310495
Name:COMIRE, AMY MICHELLE (OTR/L)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:COMIRE
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 1:22 KING GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-1708
Mailing Address - Country:US
Mailing Address - Phone:781-248-7503
Mailing Address - Fax:
Practice Address - Street 1:22 KING GEORGE DR
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-1708
Practice Address - Country:US
Practice Address - Phone:781-248-7503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6532225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist