Organization
MOVING MOUNTAINS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ANDERSON DPT, PT (PHYSICAL THERAPIST/SOLE MEMBER)
(770) 605-6510
Entity
Organization
Contact information
Practice address
2146 THOMPSON AVE SE, COVINGTON, GA 30014-2819
(770) 605-6510
Mailing address
2146 THOMPSON AVE SE, COVINGTON, GA 30014-2819
(770) 605-6510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/24/2019
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