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Organization
SIMPLICITY THERAPY GROUP INC
Active
Organization
SIMPLICITY THERAPY GROUP INC
Active
Other names
Simplicity Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC MICHAEL MARTINO (MANAGER)
(404) 897-8960
Entity
Organization
Contact information
Practice address
115 ACADEMY ST STE 102, CANTON, GA 30114-3008
(404) 444-1521
(404) 689-4209
Mailing address
PO BOX 1901, ROSWELL, GA 30077-1901
(404) 897-8960
(404) 689-4209
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204647C
—
GA
05
—
003333765A
—
GA
Enumeration date
04/17/2020
Last updated
07/20/2026
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