Organization
FREEDOM OCCUPATIONAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A LEFFALL OTR/L (OWNEER)
(404) 357-9509
Entity
Organization
Contact information
Practice address
2164 SPRINGDALE CIR SW, ATLANTA, GA 30315-6106
(404) 357-9509
(404) 761-8632
Mailing address
2164 SPRINGDALE CIR SW, ATLANTA, GA 30315-6106
(404) 357-9509
(404) 761-8632
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
OT004416
GA
251E00000X
Home Health Agency
Primary
OT004416
GA
252Y00000X
Early Intervention Provider Agency
OT004416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525940680A
—
GA
Enumeration date
02/12/2009
Last updated
02/12/2009
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