| NPI | 1841577111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELLE PARKS CEO 912-342-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT001375) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001592) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005680) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT002198) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-06-19 |