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Organization
THERAPY SOLUTIONS OF GEORGIA, INC.
Active
Organization
THERAPY SOLUTIONS OF GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHAEL BALL (EXECUTIVE DIRECTOR)
(678) 377-9634
Entity
Organization
Contact information
Practice address
3615 BRASELTON HWY, SUITE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Mailing address
3615 BRASELTON HWY, SUITE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10033351
—
GA
05
—
10033352
—
GA
01
—
51101039-001
BLUE CROSS & BLUE SHIELD
GA
05
—
527079371A
—
GA
01
—
7054378
AETNA
GA
Enumeration date
08/19/2005
Last updated
09/23/2008
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