Individual
GABRIEL GANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13682 GA-92, WOODSTOCK, GA 30188
(931) 217-2590
Mailing address
900 SUBLIME TRL, CANTON, GA 30114-7299
(931) 217-2590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002667
GA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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