Individual
SCARDY ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025-2886
(770) 464-2019
Mailing address
3008 NEW HAVEN LN, VILLA RICA, GA 30180-5810
(260) 804-2505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002734
CA
224Z00000X
Occupational Therapy Assistant
OTA002734
GA
Other
Enumeration date
03/24/2021
Last updated
07/16/2024
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