| NPI | 1639301567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET T VAN BUREN Executive Director 770-965-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT004005) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |