| NPI | 1720526650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEAH MIRANDY Owner 770-546-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004855) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |