Cantrell, Amber Jean

Cantrell, Amber Jean is an sole proprietor health care provider with primary practice located at 4640 Martin Rd Suite 300, Cumming GA 30041-5571. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Cantrell, Amber Jean can be contacted via phone (678) 679-1261.

Contact Information

Primary practice address
4640 Martin Rd Suite 300 Cumming GA 30041-5571
Phone: (678) 679-1261
Fax: (678) 679-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT005575 Georgia
Other Service Providers / Specialist 174400000X OT005575 Georgia

Profile Details

NPI number 1396098463
LBN Legal business name Cantrell, Amber Jean
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2012
Last updated Aug 28th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396098463 NPPES
Georgia MEDICAID 003128747A

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