Organization
ATHENS PEDIATRIC THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BURNS CCC-SLP (OWNER/PRESIDENT)
(706) 202-0458
Entity
Organization
Contact information
Practice address
110 GREYSTONE TER, ATHENS, GA 30606-4460
(706) 202-0458
(866) 753-4652
Mailing address
110 GREYSTONE TER, ATHENS, GA 30606-4460
(706) 202-0458
(866) 753-4652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900985B
—
GA
Enumeration date
02/16/2012
Last updated
02/16/2012
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