Organization
RISING STARS CHILDREN'S THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI A. ESTES OTR/L (OCCUPATIONAL THERAPIST)
(770) 345-2804
Entity
Organization
Contact information
Practice address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 345-2804
(770) 783-5049
Mailing address
9880 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3081
(770) 345-2804
(770) 783-5049
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
OT003297
GA
Other
Enumeration date
04/10/2008
Last updated
01/04/2018
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