Individual
AMY CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 WATERMAN AVE, MOUNT DORA, FL 32757-9530
(352) 383-0051
Mailing address
600 N WEST SHORE BLVD, 600, TAMPA, FL 33609-1140
(800) 806-6026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT005614
GA
225X00000X
Occupational Therapist
Primary
OT16167
FL
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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