Individual
AMY EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3798 E FIRST ST, BLUE RIDGE, GA 30513-4514
(706) 632-7168
(706) 632-9756
Mailing address
96 MULL RDG, EPWORTH, GA 30541-2250
(706) 632-3185
(706) 632-9756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT003884
GA OT LICENSE
GA
Enumeration date
12/13/2006
Last updated
07/08/2007
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