| NPI | 1104099134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI A. ESTES Occupational Therapist 770-345-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: GA OT003297) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2018-01-04 |