Organization
A STEP ABOVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMARA WALKER M.S., CCC-SLP (OWNER)
(678) 889-0803
Entity
Organization
Contact information
Practice address
2001 LAWRENCEVILLE SUWANEE RD STE 201, SUWANEE, GA 30024-2626
(678) 889-0803
Mailing address
2001 LAWRENCEVILLE SUWANEE RD STE 201, SUWANEE, GA 30024-2626
(678) 889-0803
(678) 716-3441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
05/30/2023
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