| NPI | 1467936559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARNES HAMMOCK Co Owner 770-590-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |