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Organization
OPEN DOOR PEDIATRIC THERAPY SERVICES
Active
Organization
OPEN DOOR PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA S GOODMAN (CO-OWNER)
(404) 213-6918
Entity
Organization
Contact information
Practice address
707 WHITLOCK AVE SW, SUITE A-41, MARIETTA, GA 30064-3000
(404) 213-6918
Mailing address
707 WHITLOCK AVE SW, SUITE A-41, MARIETTA, GA 30064-3000
(404) 213-6918
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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