| NPI | 1063837722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY OVIEDO Executive Director 678-907-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005495) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 231H00000X Audiologist (Licence: GA 003201) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |