Individual
AMANDA KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
107 OAK ST, SUMMERVILLE, GA 30747-2140
(706) 936-4007
Mailing address
107 OAK ST, SUMMERVILLE, GA 30747-2140
(706) 936-4007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1111
NH
224Z00000X
Occupational Therapy Assistant
Primary
OTA001918
GA
Other
Enumeration date
10/30/2024
Last updated
11/14/2024
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