| NPI | 1780079632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA NUNNERY Owner 678-768-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006139) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |