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Organization

THERAPY TRAILS OF EVANS

Active
Find providers by NPI
Organization

THERAPY TRAILS OF EVANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH PEAVY (OWNER/SLP)
(706) 842-3330
Entity
Organization

Contact information

Practice address
536 GRAND SLAM DR STE D, EVANS, GA 30809-8045
(706) 854-8434
(706) 854-8435
Mailing address
536 GRAND SLAM DR STE D, EVANS, GA 30809-8045
(706) 854-8434
(706) 854-8435

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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