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Organization

RISING STARS CHILDREN'S THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTI A. ESTES OTR/L (OCCUPATIONAL THERAPIST)
(770) 517-6357
Entity
Organization

Contact information

Practice address
3595 CANTON RD, SUITE A9, #321, MARIETTA, GA 30066-2658
(770) 517-6357
(770) 783-1398
Mailing address
3595 CANTON RD, SUITE A9, #321, MARIETTA, GA 30066-2658
(770) 517-6357
(770) 783-1398

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003784
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
965277113C
GA
Enumeration date
10/09/2006
Last updated
08/22/2020
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