Organization
ALPHA PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE LOOMIS MS, CCC-SLP (DIRECT OWNER)
(612) 719-5318
Entity
Organization
Contact information
Practice address
247 PROVIDENCE OAKS CIR, MILTON, GA 30009-6815
(612) 719-5318
Mailing address
247 PROVIDENCE OAKS CIR, MILTON, GA 30009-6815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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