Organization
DUCKTAILS PEDIATRIC THERAPY AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ROSS (OWNER / OTRL)
(706) 364-5262
Entity
Organization
Contact information
Practice address
568 BLUE RIDGE DR, EVANS, GA 30809-3604
(706) 364-5262
(706) 364-5263
Mailing address
568 BLUE RIDGE DR, EVANS, GA 30809-3604
(706) 364-5262
(706) 364-5263
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
003593
GA
261QP2000X
Physical Therapy Clinic/Center
PT004118
GA
261QP2000X
Physical Therapy Clinic/Center
PT004423
GA
261QP2000X
Physical Therapy Clinic/Center
PT008564
GA
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000717274C
—
GA
05
—
000767456C
—
GA
Enumeration date
08/22/2006
Last updated
06/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us