Organization
STEP BY STEP THERAPY LLC
Active
Organization
STEP BY STEP THERAPY LLC
Active
Other names
Step By Step Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA ABADIAS GONZALEZ OT (OWNER)
(678) 963-5305
Entity
Organization
Contact information
Practice address
49 PIEDMONT DR STE 104, WINDER, GA 30680-8118
(678) 963-5305
(678) 963-5399
Mailing address
49 PIEDMONT DR STE 104, WINDER, GA 30680-8118
(678) 963-5305
(678) 963-5399
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006968
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003202269A
—
GA
Enumeration date
04/12/2018
Last updated
06/16/2018
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