Individual
AMY HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
512 S MAIN ST STE A, HINESVILLE, GA 31313-4344
(912) 756-5699
Mailing address
PO BOX 2829, RICHMOND HILL, GA 31324-2829
(912) 756-5699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003929
GA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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