Organization
GROWTH REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA NICOLE BALTHAZAR M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(517) 927-1598
Entity
Organization
Contact information
Practice address
3449 CHARLEMAGNE DR, DECATUR, GA 30034-5317
(517) 927-1598
Mailing address
3449 CHARLEMAGNE DR, DECATUR, GA 30034-5317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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