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Organization
THERAPY TRAILS, LLC
Active
Organization
THERAPY TRAILS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PEAVY CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(478) 230-0431
Entity
Organization
Contact information
Practice address
5176 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(706) 842-3330
(706) 426-1168
Mailing address
5176 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(706) 842-3330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008920
GA
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/20/2017
Last updated
12/09/2022
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