Provider Demographics
NPI:1679910897
Name:SLUTZKY, AMY LYNNE (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNNE
Last Name:SLUTZKY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WATERMILL PL
Mailing Address - Street 2:UNIT 407
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4140
Mailing Address - Country:US
Mailing Address - Phone:781-641-1870
Mailing Address - Fax:
Practice Address - Street 1:1 WATERMILL PL
Practice Address - Street 2:UNIT 407
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4140
Practice Address - Country:US
Practice Address - Phone:781-641-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA814225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist