# AMY LEIGH OUELLETTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053383430
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5105 | OR | — |
| 2251P0200X | Pediatric Physical Therapist | 5105 | OR | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 09/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005727 | — | OR |