Provider Demographics
NPI:1831221043
Name:OWLER, AMY CATHERINE (OTR)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CATHERINE
Last Name:OWLER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 TAMIAMI TRL N STE 104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3016
Mailing Address - Country:US
Mailing Address - Phone:239-643-2040
Mailing Address - Fax:239-643-2080
Practice Address - Street 1:4949 TAMIAMI TRL N STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3016
Practice Address - Country:US
Practice Address - Phone:239-643-2040
Practice Address - Fax:239-643-2080
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11533225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT11533OtherO T LICENSE