Provider Demographics
NPI:1316244270
Name:FEULNER, AMI NICOLE (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:AMI
Middle Name:NICOLE
Last Name:FEULNER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 LIBERTY ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1427
Mailing Address - Country:US
Mailing Address - Phone:845-233-1019
Mailing Address - Fax:
Practice Address - Street 1:30 LIBERTY ST
Practice Address - Street 2:APT. 3F
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1427
Practice Address - Country:US
Practice Address - Phone:845-233-1019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006807-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant