Organization
DR. PEGGY MARBACH VESTIBULAR REHAB SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY MARBACH (OWNER)
(770) 522-9800
Entity
Organization
Contact information
Practice address
6849 PEACHTREE DUNWOODY ROAD, BUILDING B-4, SUITE #100, SANDY SPRINGS, GA 30328-6776
(770) 522-9800
Mailing address
2474 REGENCY LAKE DR, MARIETTA, GA 30062-8408
(770) 378-8746
(770) 522-9800
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
000406
GA
261QR0400X
Rehabilitation Clinic/Center
000406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073048666
OCCUPATIONAL THERAPY
—
Enumeration date
06/14/2017
Last updated
06/14/2017
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