Individual ProviderAmy FaheyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address725 Welch Rd, Palo Alto, CA 94304-1601(814) 577-9268PECOS EnrollmentBased on the most recent information from CMS, provider Amy Fahey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770801524Provider TypeIndividualFull NameFahey, AmyCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date5/4/2010Last Updated1/30/2012Contact InformationPractice LocationPractice Address725 Welch Rd, Palo Alto, CA 94304-1601Phone(814) 577-9268FaxUnlisted FaxMailing LocationMailing Address725 Welch Road, Palo Alto, CA 94304Phone(814) 577-9268FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense9492CaliforniaProvider IdentifiersIDDescriptionIssuerID943304516DescriptionOtherIssuerGROUP