Organization
KEYSTONE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA B RICHARDS (OFFICE MANAGER)
(229) 244-3552
Entity
Organization
Contact information
Practice address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 244-3552
(229) 244-7030
Mailing address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 244-3552
(229) 244-7030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031007539A
—
GA
Enumeration date
08/26/2010
Last updated
07/16/2021
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