Most Relevant Information
Provider Data
| NPI Number: | 1003367756 |
| Provider Name: | AMY CAMERON COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | A5187 |
Most Important Dates
| Enumeration Date: | 10/18/2016 |
| Last Updated: | 10/18/2016 |
Provider Practice Location
8005 US HIGHWAY 60 W
LEWISPORT
KY
423517079
Practice Location Phone/Fax
| Phone: | 2702956756 |
| Fax: |
Provider Mailing Location
450 STUMP NEWMAN RD
HAWESVILLE
KY
423486250
Provider Mailing Phone/Fax
| Phone: | 2709037738 |
| Fax: |