Individual
AMY J RIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC - SLP
Contact information
Practice address
10000 W COLONIAL DR STE 381, OCOEE, FL 34761-3435
(407) 296-1900
(321) 843-8771
Mailing address
10000 W COLONIAL DR STE 381, OCOEE, FL 34761-3435
(407) 296-1900
(321) 843-8771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1431-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42768900
—
WI
Enumeration date
06/09/2006
Last updated
02/09/2026
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