Provider Demographics
NPI:1487152195
Name:CRESSWELL, AMY MARIE (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MARIE
Last Name:CRESSWELL
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:TREAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:360 TAHITI ST
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-2942
Mailing Address - Country:US
Mailing Address - Phone:805-801-9557
Mailing Address - Fax:
Practice Address - Street 1:2598 MAIN ST
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-1553
Practice Address - Country:US
Practice Address - Phone:805-801-9557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-28
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT7660225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist