Organization
DREAM CATCHER PEDIATRIC THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M. VEREEN CCC-SLP (PRESIDENT)
(706) 255-9121
Entity
Organization
Contact information
Practice address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 255-9121
Mailing address
PO BOX 1712, WATKINSVILLE, GA 30677-0034
(706) 255-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT004128
GA
225X00000X
Occupational Therapist
OT005995
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP001795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10044794
AMERIGROUP
GA
05
—
755557610B
—
GA
Enumeration date
03/23/2007
Last updated
03/09/2017
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