Provider Demographics
NPI:1104166008
Name:AMOS SWEAT, CAREY ELISABETH (OTR/L)
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:ELISABETH
Last Name:AMOS SWEAT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 BETHELVIEW RD STE 110-450
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9475
Mailing Address - Country:US
Mailing Address - Phone:678-567-6692
Mailing Address - Fax:678-619-1879
Practice Address - Street 1:2300 BETHELVIEW RD STE 110-450
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9475
Practice Address - Country:US
Practice Address - Phone:678-567-6692
Practice Address - Fax:678-619-1879
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT005616225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist