Individual
AMBER LEE WIERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
364 VAIL DR, WINTER HAVEN, FL 33884-2832
(863) 651-8409
Mailing address
364 VAIL DR, WINTER HAVEN, FL 33884-2832
(863) 651-8409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17029
FL
224Z00000X
Occupational Therapy Assistant
OTA17029
FL
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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