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1306557079
AMANDA GLASS
CANTON, GA
NPI
1306557079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT008710)
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
AMANDA GLASS OTR/L
150 HOSPITAL CIR
CANTON, GA 30114-3209
Phone number: 770-479-5649
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Mailing Address
AMANDA GLASS OTR/L
4675 OLD STILESBORO RD NW
ACWORTH, GA 30101-4067
Phone number: 404-406-3385
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