# BINGHAM THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063041788
- **Authorized official:** STEPHANIE BINGHAM (MEMBER)
- **Authorized official phone:** (470) 496-8480

## Contact information

- **Practice address:** 3628 SATELLITE BLVD UNIT 957746, DULUTH, GA 30095-0469
- **Practice address phone:** (470) 496-8480
- **Mailing address:** 3628 SATELLITE BLVD UNIT 957746, DULUTH, GA 30095-0469
- **Mailing address phone:** (470) 496-8480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 2355S0801X | Speech-Language Assistant | — | NULL | — |
| 2355S0801X | Speech-Language Assistant | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 04/04/2020
- **Last updated:** 04/28/2021