Individual
AMIE L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
LEWIS MEMORIAL CHRISTIAN VILLAGE, 3400 W WASHINGTON STREET, SPRINGFIELD, IL 62711-6271
(217) 787-9600
Mailing address
LEWIS MEMORIAL CHRISTIAN VILLAGE, 3400 W WASHINGTON STREET, SPRINGFIELD, IL 62711
(217) 787-9600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003998
IL
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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