Organization
LIFTING SPIRITS THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YURIDIA GARZA MS OTR/L (OCCUPATIONAL THERAPIST-OWNER)
(678) 908-7057
Entity
Organization
Contact information
Practice address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-7676
(770) 615-0177
Mailing address
PO BOX 1071, GAINESVILLE, GA 30503-1071
(678) 908-7057
(770) 536-9629
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT009992
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT003657
GA
225XP0200X
Pediatric Occupational Therapist
OT005167
GA
225XP0200X
Pediatric Occupational Therapist
OT006677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141263118A
—
GA
Enumeration date
01/22/2008
Last updated
03/31/2017
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