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Organization

THE HAND AND UPPER EXTREMITY REHABILITATION CENTER

Active
Parent organization
THE HAND AND UPPER EXTREMITY REHABILITATION CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE HAND AND UPPER EXTREMITY REHABILITATION CENTER
Authorized official
MRS. MELISSA CLARK OTR/L, CHT (CLINIC MANAGER)
(404) 255-1242
Entity
Organization

Contact information

Practice address
3400 OLD MILTON PKWY # A, STE 350, ALPHARETTA, GA 30005-3707
(404) 693-9098
(404) 693-9070
Mailing address
980 JOHNSON FERRY RD NE, STE 1000, ATLANTA, GA 30342-1626
(404) 255-1242
(404) 256-4669

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0700009309
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP7700
GROUP #
GA
Enumeration date
02/01/2008
Last updated
02/01/2008
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