Organization
NEURO-DEVELOPMENTAL TREATMENT PROGRAMS, INC.
Active
Other names
NDT Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY L HARRIS (BACK OFFICE MANAGER)
(706) 736-1255
Entity
Organization
Contact information
Practice address
817 CRAWFORD AVE, AUGUSTA, GA 30904-3772
(706) 736-1255
(706) 736-1258
Mailing address
817 CRAWFORD AVE, AUGUSTA, GA 30904-3772
(706) 736-1255
(706) 736-1258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
GA
225X00000X
Occupational Therapist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024827D
—
GA
05
—
GP1346
—
SC
Enumeration date
03/02/2006
Last updated
08/23/2021
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