Individual
AMIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2485 HIGHWAY 88, HEPHZIBAH, GA 30815-4691
(706) 592-5565
(706) 751-0825
Mailing address
2485 HIGHWAY 88, HEPHZIBAH, GA 30815-4691
(706) 592-5565
(706) 751-0825
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5155
GA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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