Doctor Name: | AMBER A MITZELFELT |
NPI Number: | 1720409097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, OTR/L |
License Number: | 07432 |
Business Practice Address: | 12158 Central Ave Mitchellville, MD - 207211932 |
Business Phone Number: | 3013903076 |
Business Fax Number: | |
Mailing Address: | 10412 43rd Ave, BELTSVILLE |
State: | MD |
Postal Code: | 207052445 |
Phone Number: | 3037265420 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2014 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 07432 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |