Organization
ABILITY PEDIATRIC THERAPY OF GAINESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY LEIGH CORLEY PT (OWNER)
(770) 891-1362
Entity
Organization
Contact information
Practice address
428 S ENOTA DR NE, GAINESVILLE, GA 30501-2548
(770) 891-1362
(770) 406-6840
Mailing address
2741 QUILLIANS DR, GAINESVILLE, GA 30506-2885
(770) 891-1362
(770) 406-6840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT005935
STATE LICENSE
GA
Enumeration date
11/23/2020
Last updated
11/23/2020
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