Organization
A TO Z PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ZITO M.S., CCC-SLP (SPEECH PATHOLOGIST)
(678) 733-9318
Entity
Organization
Contact information
Practice address
5825 GLENRIDGE DR NE, BLDG 1, SUITE 133, ATLANTA, GA 30328-5387
(678) 733-9318
(404) 902-5440
Mailing address
5825 GLENRIDGE DR NE, BLDG 1, SUITE 133, ATLANTA, GA 30328-5387
(678) 733-9318
(404) 902-5440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910672577B
—
GA
Enumeration date
09/12/2012
Last updated
09/12/2012
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