Organization
CAACTUS FLOWERS ROCK STARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH KATHLEEN ROBBINS OTR/L (MANAGING MEMBER)
(706) 699-5157
Entity
Organization
Contact information
Practice address
4455 WASHINGTON RD, EVANS, GA 30809-6326
(706) 305-9130
Mailing address
3909 GREENBRIER RD, THOMSON, GA 30824-4423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
321938
GA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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