Organization
NORTH GEORGIA THERAPY FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WALLACE OT, CHT (CEO/OWNER)
(678) 780-6941
Entity
Organization
Contact information
Practice address
4655 DAHLONEGA HWY, CUMMING, GA 30028-3304
(678) 780-6941
Mailing address
4655 DAHLONEGA HWY, CUMMING, GA 30028
(678) 780-6941
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
GA OT 004063
GA
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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