| NPI | 1215091186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET W VINCENT Owner 706-860-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT001132) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist (Licence: GA OT001132) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |