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Organization
CURATED THERAPY SERVICES, LLC
Active
Organization
CURATED THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUANTARA SHORELL INGRAM CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(678) 215-2554
Entity
Organization
Contact information
Practice address
3355 SWEETWATER RD APT 3202, LAWRENCEVILLE, GA 30044-8511
(678) 215-2554
Mailing address
3780 OLD NORCROSS RD STE 103, DULUTH, GA 30096-1762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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