Individual
AMBER MARIE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1537 HUTTON PL, CHARLESTON, SC 29407-3505
(406) 633-3863
Mailing address
1537 HUTTON PL, CHARLESTON, SC 29407-3505
(406) 633-3863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1657
MT
224Z00000X
Occupational Therapy Assistant
7367482-4202
UT
224Z00000X
Occupational Therapy Assistant
Primary
8644
NC
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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