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Organization
ABC PEDIATRIC THERAPY SERVICES, INC.
Active
Organization
ABC PEDIATRIC THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY LYNN EAGER-KESSEL MS CCC SLP (SPEECH PATHOLOGIST)
(404) 556-5554
Entity
Organization
Contact information
Practice address
2655 DALLAS HWY SW, SUITE 320, MARIETTA, GA 30064-2597
(404) 556-5554
(770) 428-2112
Mailing address
2655 DALLAS HWY SW, SUITE 320, MARIETTA, GA 30064-2597
(404) 556-5554
(770) 428-2112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00609056H
—
GA
Enumeration date
12/29/2006
Last updated
04/08/2008
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