Organization
ROGERS BRIDGE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE NELSON WILLIS CCC-SLP (OWNER)
(478) 454-8889
Entity
Organization
Contact information
Practice address
2845 SUMMERCREST LN, DULUTH, GA 30096
(478) 454-8889
(678) 280-6766
Mailing address
2845 SUMMERCREST LN, DULUTH, GA 30096-2776
(478) 454-8889
(678) 280-6766
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP007707
GA
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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