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Organization
VIRTUAL PEDIATRIC THERAPY
Active
Organization
VIRTUAL PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITI SHAH (OWNER)
(404) 482-0900
Entity
Organization
Contact information
Practice address
8735 DUNWOODY PL STE 6246, ATLANTA, GA 30350-2995
(404) 482-0900
Mailing address
8735 DUNWOODY PL STE 6246, ATLANTA, GA 30350-2995
(404) 482-0900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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