| NPI | 1245796424 |
|---|---|
| Doing Business As | SPECTRUM THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADFORD LEE TUCKER President 770-609-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QP2300X Clinic/Center Primary Care | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2020-07-22 |