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Organization

GROWING BY PLAY PEDIATRIC THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAEHA PATEL SUR MS, OTR/L, CLC (OCCUPATIONAL THERAPIST)
(678) 498-0588
Entity
Organization

Contact information

Practice address
1772 MOUNTAIN OAK RD NW, KENNESAW, GA 30152-4278
(678) 498-0588
Mailing address
1772 MOUNTAIN OAK RD NW, KENNESAW, GA 30152-4278
(678) 498-0588

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
10/18/2025
Last updated
10/18/2025
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