# FUNCTIONAL THERAPY SERVICES

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

## Provider details

- **NPI number:** 1336681667
- **Authorized official:** MRS. CLAIRE HARVEY OTR/L (CEO)
- **Authorized official phone:** (803) 609-1395

## Contact information

- **Practice address:** 947 PEEL CASTLE LN, AUSTELL, GA 30106-1467
- **Practice address phone:** (803) 609-1395
- **Mailing address:** 947 PEEL CASTLE LN, AUSTELL, GA 30106-1467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 006157 | GA | Yes |

## Other

- **Enumeration date:** 11/17/2016
- **Last updated:** 11/17/2016