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Organization

EAST COBB HAND THERAPY LLC

Active
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Organization

EAST COBB HAND THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGARET P KRENGEL OTR CHT (OWNER)
(770) 578-4334
Entity
Organization

Contact information

Practice address
3901 ROSWELL RD, SUITE 100B, MARIETTA, GA 30062-6284
(770) 578-4334
(770) 578-4335
Mailing address
3901 ROSWELL RD, SUITE 100B, MARIETTA, GA 30062-6284
(770) 578-4334
(770) 578-4335

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
000542
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073563771
INDIVIDUAL NPI #
GA
01
1407986169
GROUP NPI
GA
05
990037399A
GA
01
GRP6544
MEDICARE GROUP #
GA
Enumeration date
03/06/2007
Last updated
09/12/2011
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