Individual
INDIA GANAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SERENA CT, COVINGTON, GA 30016-7330
(734) 772-7174
Mailing address
85 SERENA CT, COVINGTON, GA 30016-7330
(734) 772-7174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
GA
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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