Individual
AMY E CAUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1308 VENTURA PL, MOUNT PLEASANT, SC 29464-9539
(843) 701-6858
Mailing address
1308 VENTURA PL, MOUNT PLEASANT, SC 29464-9539
(843) 701-6858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
10403
NC
224Z00000X
Occupational Therapy Assistant
213988
TX
224Z00000X
Occupational Therapy Assistant
Primary
3525
SC
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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