Organization
THERAPEDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S HOPE PT (PRESIDENT)
(404) 405-3451
Entity
Organization
Contact information
Practice address
2395 HWY 36 E, MILNER, GA 30257
(404) 405-3451
(770) 412-8576
Mailing address
P.O. BOX 1506, JACKSON, GA 30233
(405) 405-3451
(770) 412-8576
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007821245A
—
GA
05
—
782871245A
—
GA
Enumeration date
01/08/2007
Last updated
03/11/2010
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