Organization
CSRA THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE CLARK OT (OWNER)
(706) 592-5565
Entity
Organization
Contact information
Practice address
2485 GA HIGHWAY 88, HEPHZIBAH, GA 30815-4691
(706) 592-5565
(706) 592-5565
Mailing address
PO BOX 537, HEPHZIBAH, GA 30815-0537
(706) 592-5565
(706) 592-5565
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/12/2006
Last updated
05/24/2010
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