Organization
GEORGIA PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELITA PALMER (CONTACT)
(404) 709-0840
Entity
Organization
Contact information
Practice address
5067 POST RD STE 203-201, CUMMING, GA 30040-5438
(404) 709-0840
(404) 998-1909
Mailing address
5067 POST RD STE 203-201, CUMMING, GA 30040-5438
(404) 709-0840
(678) 254-1778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
04/01/2025
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