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Organization
YOUR PLACE KIDS THERAPY
Active
Organization
YOUR PLACE KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT NYE (MANAGER)
(404) 939-0690
Entity
Organization
Contact information
Practice address
1559 WALKER AVE, COLLEGE PARK, GA 30337-1544
(404) 939-0690
Mailing address
1559 WALKER AVE, COLLEGE PARK, GA 30337-1544
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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