Provider Demographics
NPI:1407062771
Name:CAWRSE, AMY ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ELIZABETH
Last Name:CAWRSE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:DILALLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2025 CORTE DEL NOGAL
Mailing Address - Street 2:STE 200Z
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1411
Mailing Address - Country:US
Mailing Address - Phone:970-506-4066
Mailing Address - Fax:
Practice Address - Street 1:6654 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TEMPERANCE
Practice Address - State:MI
Practice Address - Zip Code:48182-1201
Practice Address - Country:US
Practice Address - Phone:734-847-1295
Practice Address - Fax:734-847-1296
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005521225X00000X
MI5201005725225X00000X
OHOT-001510225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist