Individual
AMELIA GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
103 E US HIGHWAY 80, BLOOMINGDALE, GA 31302-9226
(912) 421-0140
Mailing address
1409 WATERVISTA TER, POOLER, GA 31322-5504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009630
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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