| NPI | 1770754475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HOELL Owner 678-714-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 004301) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 001565) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 003562) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 001582) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 002798) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 004017) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |