Individual
AMY WADAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 SPRING ST SE, GAINESVILLE, GA 30501-3773
(770) 615-7676
Mailing address
500 SPRING ST SE, GAINESVILLE, GA 30501-3773
(770) 615-7676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT008769
GA
Other
Enumeration date
10/24/2018
Last updated
03/14/2023
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