NPI 1104038322

Amy Easterly Nistico, MOT

Practitioner Occupational Therapist Corvallis, OR

Practice location

Address: 815 NW 9th St Suite180, Corvallis, OR 97330-6173
Phone: (541) 768-5157
Mailing address: PO Box 1189, Corvallis, OR 97339-1189

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 105826 (OR)

Other Occupational Therapist providers in Oregon →

Registry record

NPI: 1104038322
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 11 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.