Organization
PEDIATRIC HAND AND UPPER EXTREMITY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN JULIET STEFFE OTD, CHT (MANAGER)
(770) 241-3483
Entity
Organization
Contact information
Practice address
2534 ALLSBOROUGH WAY, DACULA, GA 30019-8517
(770) 241-3483
Mailing address
2534 ALLSBOROUGH WAY, DACULA, GA 30019-8517
(770) 241-3483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OT003068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330681270A
—
GA
Enumeration date
07/20/2007
Last updated
08/18/2014
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