IndividualActive
Amy Niewald
NPI 1336490754 · Physical Rehabilitation Occupational Therapist · Alton, IL
Provider details
- NPI number
- 1336490754
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 056.009755 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Memorial Dr
Alton, IL 62002-6722
Phone: (618) 463-7429
Approximate (ZIP-level) locationGet directions
Mailing address
1 Memorial Dr
Alton, IL 62002-6722
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.