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Organization

NORTH GEORGIA PEDIATRIC THERAPIES, LLC

Active
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Organization

NORTH GEORGIA PEDIATRIC THERAPIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARON E. MINNICK PT, DPT (OWNER)
(423) 313-5895
Entity
Organization

Contact information

Practice address
1821 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7471
(706) 861-7472
Mailing address
1821 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7471
(706) 861-7472

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342148
WELLCARE
GA
Enumeration date
02/19/2009
Last updated
06/15/2023
About Stedi
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