Organization
ASPIRE PEDIATRIC THERAPY OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET T VAN BUREN OTR/L, ATP, SIPT (EXECUTIVE DIRECTOR)
(770) 965-1861
Entity
Organization
Contact information
Practice address
5745 OLD WINDER HWY, SUITE C, BRASELTON, GA 30517-1636
(770) 965-1861
(770) 965-1863
Mailing address
5745 OLD WINDER HWY, SUITE C, BRASELTON, GA 30517-1636
(770) 965-1861
(770) 965-1863
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004005
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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