Provider Demographics
NPI:1952461865
Name:GILES, AMANDA LINDSEY
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:LINDSEY
Last Name:GILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 ROBINHOOD RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3129
Mailing Address - Country:US
Mailing Address - Phone:229-493-9586
Mailing Address - Fax:
Practice Address - Street 1:HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Practice Address - Street 2:6298 VETERANS PARKWAY, SUITE 5 A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909
Practice Address - Country:US
Practice Address - Phone:706-320-5461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4387225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist