Provider Demographics
NPI:1316329907
Name:ALBERS, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:ALBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6520 ANCHOR LOOP APT 304
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-4408
Mailing Address - Country:US
Mailing Address - Phone:941-284-9939
Mailing Address - Fax:
Practice Address - Street 1:401 N CATTLEMEN RD STE 104
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6441
Practice Address - Country:US
Practice Address - Phone:941-955-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT15920225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist