Organization
MIRACLE KIDS LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RABINDER KAUR ROY OTRL (OWNER)
(678) 799-3599
Entity
Organization
Contact information
Practice address
1442 DRESDEN DR NE UNIT C258, BROOKHAVEN, GA 30319-3590
(678) 779-3599
(678) 922-1235
Mailing address
1442 DRESDEN DR NE UNIT C258, BROOKHAVEN, GA 30319-3590
(678) 779-3599
(678) 922-1235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002706
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000874849B
—
GA
Enumeration date
05/16/2007
Last updated
03/03/2017
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