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Organization

COMPREHENSIVE THERAPY SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIA FULLER MS,OTR,CHT (OWNER)
(678) 992-0303
Entity
Organization

Contact information

Practice address
11180 STATE BRIDGE RD, SUITE 305, ALPHARETTA, GA 30022-7482
(678) 992-0303
(678) 992-0302
Mailing address
11180 STATE BRIDGE RD, SUITE 305, ALPHARETTA, GA 30022-7482
(678) 992-0303
(678) 992-0302

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT006067
GA
225100000X
Physical Therapist
Primary
PT006934
GA
225X00000X
Occupational Therapist
OT000932
225XH1200X
Hand Occupational Therapist
OTOOO932
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
501099970B
GA
Enumeration date
11/30/2006
Last updated
08/20/2008
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