# SPECIALIZED THERAPY SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1356760318
- **Authorized official:** MRS. SHANIKA MCCLAIN QUEEMAN OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (404) 502-7997

## Contact information

- **Practice address:** 1494 HAMPTON VIEW CT, MARIETTA, GA 30008-4094
- **Practice address phone:** (404) 502-7997
- **Practice address fax:** (404) 566-6080
- **Mailing address:** 1494 HAMPTON VIEW CT, MARIETTA, GA 30008-4094
- **Mailing address phone:** (404) 502-7997
- **Mailing address fax:** (404) 566-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | OT004369 | GA | Yes |

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 04/01/2015