Individual
AMANDA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 HOSPITAL CIR, CANTON, GA 30114-3209
(770) 479-5649
Mailing address
4675 OLD STILESBORO RD NW, ACWORTH, GA 30101-4067
(404) 406-3385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008710
GA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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