Individual
MISS ASHLEY AMBER WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5852
Mailing address
10420 N MCKINLEY DR, APT. 8113, TAMPA, FL 33612-6420
(813) 784-0541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13483
FL
Other
Enumeration date
01/04/2010
Last updated
01/05/2010
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