Organization
TOTALLY KIDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS E. ADAMS P.T., D.P.T. (OWNER)
(404) 906-3575
Entity
Organization
Contact information
Practice address
1103 EDWARD DR, MCDONOUGH, GA 30255-8555
(404) 906-3575
Mailing address
1103 EDWARD DRIVE, MCDONOUGH, GA 30255-8555
(404) 906-3575
(404) 366-3357
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
004818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003200749A
—
GA
Enumeration date
03/06/2018
Last updated
03/06/2018
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