Organization
SHELLAND
Active
Other names
Childrens Therapy Works
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE C WILLIAMS (CLINIC MANAGER)
(770) 754-0085
Entity
Organization
Contact information
Practice address
11940 ALPHARETTA HWY, SUITE 150, ALPHARETTA, GA 30004
(770) 754-0085
(770) 754-9288
Mailing address
11940 ALPHARETTA HWY, SUITE 150, ALPHARETTA, GA 30004
(770) 754-0085
(770) 754-9288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT008171
GA
225100000X
Physical Therapist
PT008574
GA
225X00000X
Occupational Therapist
OT001490
GA
225X00000X
Occupational Therapist
Primary
OT001920
GA
225X00000X
Occupational Therapist
OT003674
GA
225X00000X
Occupational Therapist
OT003813
GA
225X00000X
Occupational Therapist
OT003854
GA
225X00000X
Occupational Therapist
OT004039
GA
225X00000X
Occupational Therapist
OT004227
GA
225X00000X
Occupational Therapist
OT004359
GA
235Z00000X
Speech-Language Pathologist
SLP0005925
GA
235Z00000X
Speech-Language Pathologist
SLP003319
GA
235Z00000X
Speech-Language Pathologist
SLP005497
GA
235Z00000X
Speech-Language Pathologist
SLP005951
GA
235Z00000X
Speech-Language Pathologist
SLPOO6466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034160A
—
GA
05
—
300034160C
—
GA
Enumeration date
08/05/2006
Last updated
07/14/2008
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