Individual
AMANDA WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2370 BRUCE B DOWNS BLVD STE 300, WESLEY CHAPEL, FL 33544-9215
(813) 733-6152
Mailing address
5263 DERBY AVE, SPRING HILL, FL 34608-2510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18215
FL
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18215
LICENSED OCCUPATIONAL THERAPY ASSISTANT STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
01
—
450982
NBCOT
MD
Enumeration date
06/14/2022
Last updated
06/14/2022
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