Organization
PROPEL PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CETTINA CHIARELLI MS CCC-SLP (CO-OWNER)
(404) 228-8558
Entity
Organization
Contact information
Practice address
2 CORPORATE BLVD NE STE 160, BROOKHAVEN, GA 30329-2027
(404) 228-8558
Mailing address
2 CORPORATE BLVD NE STE 160, BROOKHAVEN, GA 30329-2027
(404) 228-8558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860604D
—
GA
Enumeration date
05/17/2023
Last updated
02/07/2024
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