| NPI | 1831410943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY UTECHT Occupational Therapist, Director 678-462-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: GA 3834) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist (Licence: GA 003451) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2014-03-19 |