Organization
PEACHCARE REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MCDANIEL OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(478) 952-4149
Entity
Organization
Contact information
Practice address
610 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 952-4149
Mailing address
610 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 952-4149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
Other
Enumeration date
11/23/2021
Last updated
02/16/2022
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