Individual
AMY LOUISE BROWN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
223 FOREST ST, MARION, OH 43302-4219
(740) 802-3697
Mailing address
223 FOREST ST, MARION, OH 43302-4219
(740) 802-3697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457508970
—
OH
Enumeration date
08/27/2008
Last updated
12/14/2016
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