Individual
MS. AMANDA HOLLAND GRISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
310 TECHNOLOGY PKWY, NORCROSS, GA 30092-2932
(770) 321-6600
Mailing address
3592 WESTBROOK DR SE, SMYRNA, GA 30082-3482
(678) 596-7090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1069616
GA
Other
Enumeration date
06/07/2007
Last updated
07/09/2007
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