Individual ProviderAmy CunninghamOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address255 Waterman Ave, Mount Dora, FL 32757-9530(352) 383-0051(800) 806-6026PECOS EnrollmentBased on the most recent information from CMS, provider Amy Cunningham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609293224Provider TypeIndividualFull NameCunningham, AmyGenderFemaleSole ProprietorYesEnumeration Date3/20/2014Last Updated3/20/2014Contact InformationPractice LocationPractice Address255 Waterman Ave, Mount Dora, FL 32757-9530Phone(352) 383-0051FaxUnlisted FaxMailing LocationMailing Address600 N West Shore Blvd, 600, Tampa, FL 33609-1140Phone(800) 806-6026FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT16167FloridaCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT005614Georgia