Individual
AMITA AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,CHT
Contact information
Practice address
1336 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4535
(770) 461-6142
(770) 461-6610
Mailing address
1336 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4535
(770) 461-6142
(770) 461-6610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3916
WI
225X00000X
Occupational Therapist
Primary
OT005799
GA
Other
Enumeration date
05/16/2008
Last updated
01/17/2014
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