Organization
BRIGHT HORIZONS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMIE ANNE LEISTER MS, CCC-SLP (SPEECH & LANGUAGE PATHOLOGIST-OWNER)
(404) 547-0825
Entity
Organization
Contact information
Practice address
3162 JOHNSON FERRY RD, SUITE 260 # 325, MARIETTA, GA 30062-7604
(404) 547-0825
(770) 786-6618
Mailing address
3162 JOHNSON FERRY RD, SUITE 260 # 325, MARIETTA, GA 30062-7604
(404) 547-0825
(770) 783-6618
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP005597
GA
Other
Enumeration date
02/25/2011
Last updated
03/09/2011
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