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Organization

PENDLEY BUSINESS VENTURES, INC.

Active
Other names
LEAP Pediatric Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA NICOLE PENDLEY DPT (CO-OWNER)
(678) 888-1590
Entity
Organization

Contact information

Practice address
6470 GA HIGHWAY 400, CUMMING, GA 30028-3460
(678) 888-1590
(678) 731-1590
Mailing address
PO BOX 2802, CUMMING, GA 30028-6510
(678) 888-1590
(678) 731-1590

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT009627
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003108614C
GA
Enumeration date
10/11/2014
Last updated
02/10/2016
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