Organization
NORTH GEORGIA HAND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY CATHERINE WALLACE OT, CHT (DIRECTOR, PROVIDER)
(678) 780-6941
Entity
Organization
Contact information
Practice address
765 PEACHTREE PKWY, SUITE 2, CUMMING, GA 30041-9522
(678) 780-6941
Mailing address
2920 RONALD REAGAN BLVD, SUITE 110, CUMMING, GA 30041-6206
(770) 889-0885
(770) 880-0886
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT004063
GA
Other
Enumeration date
08/28/2012
Last updated
04/27/2015
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