| NPI | 1306172655 |
|---|---|
| Doing Business As | THERAPY SOURCE |
| Entity Type | Organization |
| Authorized Contact | HULET SMITH Owner/Occupational Therapist 770-725-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT002264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006029) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2010-11-30 |