| NPI | 1093868788 |
|---|---|
| Doing Business As | VALDOSTA PEDIATRIC THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | FRANK LARRY GEORGE Owner 229-253-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 000755) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 002693) |
| 225X00000X Occupational Therapist (Licence: GA 003018) | |
| 225X00000X Occupational Therapist (Licence: GA 003031) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 002047) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 005367) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 004442) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 006513) | |
| 225100000X Physical Therapist (Licence: GA 008640) | |
| 225100000X Physical Therapist (Licence: GA 000668) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-07-23 |