| NPI | 1417165259 |
|---|---|
| Doing Business As | CHILDREN'S THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA C FRUIN CFO 912-927-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006834) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006487) |
| 225X00000X Occupational Therapist (Licence: GA OT001992) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006630) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005804) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-12-03 |