Organization
COBBLESTONE PATHWAYS, LLC
Active
Other names
Cobblestone Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER REBECCA TAYLOR M.A. CCC-SLP (OWNER- SLP)
(770) 998-9599
Entity
Organization
Contact information
Practice address
12010 ETRIS RD, SUITE A-150, ROSWELL, GA 30075-1421
(770) 998-9599
(770) 645-1313
Mailing address
12010 ETRIS RD, SUITE A-150, ROSWELL, GA 30075-1421
(770) 998-9599
(770) 645-1313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254403689A
—
GA
Enumeration date
08/16/2006
Last updated
11/30/2012
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