NPI | 1992833578 |
---|---|
Doing Business As | PEDIATRIC THERAPY OF FORSYTH |
Entity Type | Organization |
Authorized Contact | SUSAN MARIE WILES Occupational Therapist 678-992-1935 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT001803) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |