Individual
LAKEYIA AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1617 E 19TH ST, JACKSONVILLE, FL 32206-3350
(904) 434-2850
Mailing address
1617 E 19TH ST, JACKSONVILLE, FL 32206-3350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18271
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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