Individual
AMY POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GLENDALOUGH CT STE H, TYRONE, GA 30290-2948
(678) 632-6765
Mailing address
236 WINTERSWEET WAY, SHARPSBURG, GA 30277-4679
(205) 910-9118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005774
GA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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