Organization
OUR KIDZ COUNT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE RENEE STUDEVAN P.T. (PHYSICAL THERAPIST, AND CEO)
(404) 358-7836
Entity
Organization
Contact information
Practice address
1698 FONTAINE DR, JONESBORO, GA 30236-3322
(404) 358-7836
(770) 478-8448
Mailing address
1698 FONTAINE DR, JONESBORO, GA 30236-3322
(404) 358-7836
(770) 478-8448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT006746
GA
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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