Organization
GRACE THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL S. VOLK (PRESIDENT)
(866) 444-5166
Entity
Organization
Contact information
Practice address
6625 HIGHWAY 53 EAST, SUITE 410-223, DAWSONVILLE, GA 30534
(866) 444-5166
(706) 216-3741
Mailing address
6625 HIGHWAY 53 EAST, SUITE 410-223, DAWSONVILLE, GA 30534
(866) 444-5166
(706) 216-3741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326130341A
—
GA
Enumeration date
11/24/2008
Last updated
07/15/2010
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