Organization
MORE THAN WORDS PEDIATRIC THERAPY ASSO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA JOHNSON (TREASURER)
(229) 300-3241
Entity
Organization
Contact information
Practice address
1701 N PATTERSON ST, VALDOSTA, GA 31602-2940
(229) 244-4545
Mailing address
1701 N PATTERSON ST, VALDOSTA, GA 31602-2940
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100842
ACS TRADING PARTNER NO
GA
01
—
77004
WELLCARE PAYOR
GA
01
—
77084
PEACHSTATE PAYOR
GA
Enumeration date
04/23/2007
Last updated
09/11/2025
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