Provider Demographics
NPI:1992045421
Name:DEPOY, AMY HOMAN (OT/L)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:HOMAN
Last Name:DEPOY
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:B
Other - Last Name:HOMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT/L
Mailing Address - Street 1:2522 IRISH PATH
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22802-1208
Mailing Address - Country:US
Mailing Address - Phone:540-746-1899
Mailing Address - Fax:
Practice Address - Street 1:2522 IRISH PATH
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22802-1208
Practice Address - Country:US
Practice Address - Phone:540-746-1899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000933225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist