Organization
MCKENNA FARMS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ZIEGLER (BILLING ADMINISTRATOR)
(770) 432-8996
Entity
Organization
Contact information
Practice address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
(770) 505-3595
Mailing address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
(770) 505-3595
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004432
GA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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