Organization
PEDIATRIC THERAPY RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMELA A. MOORE OTR/L (OWNER)
(404) 273-1052
Entity
Organization
Contact information
Practice address
2872 CASTLEWOOD DR NW, ATLANTA, GA 30327-1204
(404) 273-1052
Mailing address
PO BOX 19616, ATLANTA, GA 30325-0616
(404) 273-1052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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