Individual ProviderAmy Lynn ProtheroeOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2725 Robie Ave, Mount Dora, FL 32757-9619(800) 626-3876(407) 733-1165PECOS EnrollmentBased on the most recent information from CMS, provider Amy Lynn Protheroe 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 ID1669097135Provider TypeIndividualFull NameProtheroe, Amy LynnCredentialOTRGenderFemaleSole ProprietorYesEnumeration Date6/10/2020Last Updated7/24/2020Contact InformationPractice LocationPractice Address2725 Robie Ave, Mount Dora, FL 32757-9619Phone(800) 626-3876FaxUnlisted FaxMailing LocationMailing Address10265 Gandy Blvd N Apt 1003, St Petersburg, FL 33702-2332Phone(407) 733-1165FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense20805Florida