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Individual

MS. AMITY PAIGE STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
730 CIRRUS DR, ALPHARETTA, GA 30022-7997
(770) 639-3032
Mailing address
3862 IRVINDALE RD, DULUTH, GA 30096-2524

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT004583
GA

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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