Organization
PEDIATRIC THERAPY PARTNERS OF WGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA DENNEY OT (OCCUPATIONAL THERAPIST)
(770) 830-8622
Entity
Organization
Contact information
Practice address
121B LEE ST, CARROLLTON, GA 30117-3314
(770) 830-8622
(770) 832-9031
Mailing address
121B LEE ST, CARROLLTON, GA 30117-3314
(770) 830-8622
(770) 832-9031
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT007533
GA
225X00000X
Occupational Therapist
Primary
OT001282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000609045E
—
GA
05
—
000675276E
—
GA
05
—
239574509D
—
GA
Enumeration date
05/19/2009
Last updated
10/14/2009
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