# PEDIATRIC THERA PEA SERVICES OF GEORGIA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1083204275
- **Authorized official:** DR. HALEY WHILE DPT (OWNER)
- **Authorized official phone:** (706) 344-9316

## Contact information

- **Practice address:** 670 ARRENDALE RD, DAHLONEGA, GA 30533-5128
- **Practice address phone:** (706) 344-9316
- **Mailing address:** 670 ARRENDALE RD, DAHLONEGA, GA 30533-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 04/13/2022