Individual
AMANDA FRAGULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
294 ROPE MILL RD, WOODSTOCK, GA 30188-2612
(770) 296-1513
Mailing address
294 ROPE MILL RD, WOODSTOCK, GA 30188-2612
(770) 296-1513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005743
GA
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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