Organization
OT JUST FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYSE RICHER-GODBEY (OWNER)
(770) 385-8191
Entity
Organization
Contact information
Practice address
65 ROSE WALK DR, COVINGTON, GA 30016-7712
(770) 385-8191
(770) 385-8191
Mailing address
65 ROSE WALK DR, COVINGTON, GA 30016-7712
(770) 385-8191
(770) 385-8191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000878039D
—
GA
Enumeration date
11/01/2006
Last updated
09/15/2008
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