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Individual
AMY LEA FERGUSON
Active
Individual
AMY LEA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT1315
AR
225X00000X
Occupational Therapist
Primary
OT2023-001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1315
ARKANSAS LIC
AR
Enumeration date
08/02/2013
Last updated
01/17/2023
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