Organization
NORTH GEORGIA HAND THERAPY, LLC
Active
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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