Provider Demographics
NPI:1225835507
Name:KERBER, AMANDA (OTR/L, MOT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:KERBER
Suffix:
Gender:
Credentials:OTR/L, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 S RIVER DR UNIT 4084
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85288-0061
Mailing Address - Country:US
Mailing Address - Phone:949-742-2641
Mailing Address - Fax:
Practice Address - Street 1:98 S RIVER DR UNIT 4084
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85288-0061
Practice Address - Country:US
Practice Address - Phone:949-742-2641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-0009937225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist