Individual
AMANDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 S HILL ST, BUFORD, GA 30518-3220
(678) 482-6100
Mailing address
470 S HILL ST, BUFORD, GA 30518-3220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005822
GA
Other
Enumeration date
11/25/2013
Last updated
04/30/2015
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