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Organization

ACROSS ALL AGES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANN FLECKENSTEIN MS, OTR/L (OWNER)
(404) 754-5368
Entity
Organization

Contact information

Practice address
140 LOCUST ST, AVONDALE ESTATES, GA 30002-1048
(404) 754-5368
Mailing address
140 LOCUST ST, AVONDALE ESTATES, GA 30002-1048

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
224Z00000X
Occupational Therapy Assistant
225X00000X
Occupational Therapist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/09/2024
Last updated
02/27/2025
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