| NPI | 1174591226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE LEE WILLARD President Owner 678-482-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-08-27 |