Individual
AMBER LIEDLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 ROOSEVELT AVE, WILMINGTON, DE 19804-3046
(302) 218-2330
Mailing address
101 ROOSEVELT AVE, WILMINGTON, DE 19804-3046
(302) 218-2330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01957
MD
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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