Individual
MS. AMY LOUISE PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5903 NEW PARIS WAY, ELLENTON, FL 34222-7258
(941) 224-7265
Mailing address
5903 NEW PARIS WAY, ELLENTON, FL 34222-7258
(941) 224-7265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12437
FL
Other
Enumeration date
10/03/2012
Last updated
04/30/2017
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