Individual
AMY LYNN GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
74 E 5TH AVE, APT #K304, COLLEGEVILLE, PA 19426-2365
(716) 450-7798
Mailing address
74 E 5TH AVE, APT #K304, COLLEGEVILLE, PA 19426-2365
(716) 450-7798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006902
PA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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