Organization
SOUTHERN THERAPY SERVICES, INC
Active
Parent organization
SOUTHERN THERAPY SERVICES, INC.
Other names
Southern Therapy Carrollton DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN THERAPY SERVICES, INC.
Authorized official
PENNY KENERLY M.ED. (CHIEF OPERATING OFFICER)
(770) 832-2484
Entity
Organization
Contact information
Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 930-5954
Mailing address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 930-5954
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
09/18/2009
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