Provider Demographics
NPI:1962068825
Name:NOWILL, AMY
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:NOWILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 FARM RD
Mailing Address - Street 2:
Mailing Address - City:SURRY
Mailing Address - State:NH
Mailing Address - Zip Code:03431-4417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 FARM RD
Practice Address - Street 2:
Practice Address - City:SURRY
Practice Address - State:NH
Practice Address - Zip Code:03431-4417
Practice Address - Country:US
Practice Address - Phone:603-543-7543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant