| NPI | 1710011804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DEUTSCHER Owner 770-460-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT002308) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR006928) |
| 225100000X Physical Therapist (Licence: GA PT001417) | |
| 225X00000X Occupational Therapist (Licence: GA OT003110) | |
| 225X00000X Occupational Therapist (Licence: GA OT003490) | |
| 225X00000X Occupational Therapist (Licence: GA OT004006) | |
| 225X00000X Occupational Therapist (Licence: GA OT004050) | |
| 225X00000X Occupational Therapist (Licence: GA OT001438) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001609) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005326) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000884) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-12-08 |