Organization
CONNECTIONS PEDIATRIC THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH SPOKAS MS, OTR/L (OWNER)
(678) 557-0487
Entity
Organization
Contact information
Practice address
6515 IVEY WOOD CT, CUMMING, GA 30040-6688
(678) 557-0487
Mailing address
6515 IVEY WOOD CT, CUMMING, GA 30040-6688
(678) 557-0487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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