Provider Demographics
NPI:1639056096
Name:AMARTEIFIO, AMORKOR
Entity type:Individual
Prefix:
First Name:AMORKOR
Middle Name:
Last Name:AMARTEIFIO
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 1:228 SHADY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4582
Mailing Address - Country:US
Mailing Address - Phone:973-289-2703
Mailing Address - Fax:
Practice Address - Street 1:228 SHADY RIDGE DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4582
Practice Address - Country:US
Practice Address - Phone:973-289-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020788225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist