Provider Demographics
NPI:1891521316
Name:HOLTZNER, AMY (COTA/L)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HOLTZNER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:SACHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4555 PERKINS PL
Mailing Address - Street 2:
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1424
Mailing Address - Country:US
Mailing Address - Phone:443-472-8098
Mailing Address - Fax:
Practice Address - Street 1:1818 POT SPRING RD STE 100
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4450
Practice Address - Country:US
Practice Address - Phone:410-583-5765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD472546224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant