Individual
AMANDA BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 ASHLAND WAY, GROVETOWN, GA 30813-4878
(706) 664-7632
Mailing address
3027 ASHLAND WAY, GROVETOWN, GA 30813-4878
(706) 664-7632
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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