# SPECIAL NEEDS PEDIATRIC THERAPY SERVICES

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

## Provider details

- **NPI number:** 1770754475
- **Authorized official:** DENISE HOELL PT (OWNER)
- **Authorized official phone:** (678) 714-6708

## Contact information

- **Practice address:** 4411 SUWANEE DAM RD, SUITE 455, SUWANEE, GA 30024-8701
- **Practice address phone:** (678) 714-6708
- **Practice address fax:** (770) 456-5224
- **Mailing address:** 4411 SUWANEE DAM RD, SUITE 455, SUWANEE, GA 30024-8701
- **Mailing address phone:** (678) 714-6708
- **Mailing address fax:** (770) 456-5224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 001565 | GA | — |
| 2251P0200X | Pediatric Physical Therapist | 004301 | GA | Yes |
| 225XP0200X | Pediatric Occupational Therapist | 001582 | GA | — |
| 225XP0200X | Pediatric Occupational Therapist | 002798 | GA | — |
| 225XP0200X | Pediatric Occupational Therapist | 003562 | GA | — |
| 225XP0200X | Pediatric Occupational Therapist | 004017 | GA | — |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/20/2008