Organization
PEACH STATE PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET ANN KUNEYL OT (CEO)
(678) 524-3451
Entity
Organization
Contact information
Practice address
457 AUTUMN PARK TRCE, LAWRENCEVILLE, GA 30044-7421
(678) 524-3451
(770) 921-7380
Mailing address
457 AUTUMN PARK TRCE, LAWRENCEVILLE, GA 30044-7421
(678) 524-3451
(770) 921-7380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT002948
GA
Other
Enumeration date
03/24/2007
Last updated
08/22/2020
About Stedi
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