Organization
SUNNYBROOK THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A JOHNSON M.ED., CCC-SLP (SPEECH THERAPIST/CO-OWNER)
(404) 704-6200
Entity
Organization
Contact information
Practice address
125 WHITE RIVER CT, ALPHARETTA, GA 30022-6192
(404) 704-6200
Mailing address
125 WHITE RIVER CT, ALPHARETTA, GA 30022-6192
(404) 704-6200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006105
GA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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