Organization
SIMPLICITY THERAPY GROUP INC
Active
Other names
Simplicity Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC MICHAEL MARTINO (PRESIDENT)
(678) 314-9295
Entity
Organization
Contact information
Practice address
115 ACADEMY ST STE 102, CANTON, GA 30114-3008
(404) 444-1521
(404) 689-4209
Mailing address
PO BOX 1901, ROSWELL, GA 30077-1901
(678) 314-9295
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204647C
—
GA
Enumeration date
04/17/2020
Last updated
08/09/2021
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