AMBER MARIE JARVIS

CHARLESTON, SC
NPI1629412234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  8644)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: MT  1657)
224Z00000X Occupational Therapy Assistant
(Licence: UT  7367482-4202)
Enumeration Date2013-04-25
Last Update Date2013-04-25
Business Address
-- AMBER MARIE JARVIS COTA
1537 HUTTON PL
CHARLESTON, SC 29407-3505
Phone number: 406-633-3863
Mailing Address
-- AMBER MARIE JARVIS COTA
1537 HUTTON PL
CHARLESTON, SC 29407-3505
Phone number: 406-633-3863