Individual
AMBER LYNN PAVLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2415 5TH AVE S, ESCANABA, MI 49829-1201
(906) 786-6907
Mailing address
W3663 GREENWOOD AVE, SPALDING, MI 49886-9759
(906) 236-4966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008246
MI
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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