Provider Demographics
NPI:1861557720
Name:DINSMORE-MILLS, AMANDA JAYNE (BSOT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JAYNE
Last Name:DINSMORE-MILLS
Suffix:
Gender:F
Credentials:BSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6225 CHANCEL GATE DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-8680
Mailing Address - Country:US
Mailing Address - Phone:614-519-5719
Mailing Address - Fax:
Practice Address - Street 1:10351 SAWMILL PKWY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9053
Practice Address - Country:US
Practice Address - Phone:614-559-4698
Practice Address - Fax:614-964-2344
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 04830225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist