Organization
BRAIN AND BODY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KNIGHT (BILLING AGENT)
(478) 987-3154
Entity
Organization
Contact information
Practice address
420 THOMASTON ST, ZEBULON, GA 30295-3387
(678) 572-9430
(678) 550-9047
Mailing address
PO BOX 1264, ZEBULON, GA 30295-1264
(678) 572-9430
(678) 550-9047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000502
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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