# MOVIN & GROOVIN CHILDREN'S THERAPY SERVICES, INC.

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

## Provider details

- **NPI number:** 1154535508
- **Authorized official:** MS. VALERIE H. SQUILLARIO PT (CEO)
- **Authorized official phone:** (404) 918-1828

## Contact information

- **Practice address:** 17 INTERLOCHEN DR NE, ATLANTA, GA 30342-3701
- **Practice address phone:** (404) 918-1828
- **Practice address fax:** (404) 459-8948
- **Mailing address:** 17 INTERLOCHEN DR NE, ATLANTA, GA 30342-3701
- **Mailing address phone:** (404) 918-1828
- **Mailing address fax:** (404) 459-8948

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020