Organization
CHILDREN & ADULT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ELLEN ROBERTS SLP (OWNER)
(770) 207-9043
Entity
Organization
Contact information
Practice address
226 ALCOVY ST, STE G-1, MONROE, GA 30655-2183
(770) 207-9043
(770) 207-9029
Mailing address
226 ALCOVY ST, STE G-1, MONROE, GA 30655-2183
(770) 207-9043
(770) 207-9029
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
116745
GA
Other
Enumeration date
05/31/2005
Last updated
08/22/2020
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