MOON RIVER, LLC

MARIETTA, GA
NPI1730143553
Entity TypeOrganization
Authorized ContactMARIA TERESA SMITH
Office Administrator
770-977-6866
Organization Subpart ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  GAOT001717)
Additional Taxonomies225100000X Physical Therapist
(Licence: GA  PT008523)
225100000X Physical Therapist
(Licence: GA  PT003833)
225100000X Physical Therapist
(Licence: GA  PT008507)
225100000X Physical Therapist
(Licence: GA  PT001355)
235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP003992)
225100000X Physical Therapist
(Licence: GA  PT007864)
235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP005806)
235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP006528)
225100000X Physical Therapist
(Licence: GA  PT005771)
225X00000X Occupational Therapist
(Licence: GA  OT004577)
235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP 06551)
235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP 006556)
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT 004293)
225100000X Physical Therapist
(Licence: GA  PT008924)
Enumeration Date2006-04-17
Last Update Date2017-02-15
Business Address
MOON RIVER, LLC
790 OAK TRAIL DR
MARIETTA, GA 30062-7502
Phone number: 770-977-6866
Mailing Address
MOON RIVER, LLC
790 OAK TRAIL DR
MARIETTA, GA 30062-7502
Phone number: 770-212-2170